title: Volkmann Ischemic Contracture Due to Traditional Practice.
abstract: An 11-year-old boy presented with three days' history of blunt trauma to the left shoulder due to a fall to the ground. The boy was taken to the traditional practitioner, who applied a very tight bandage over a piece of cartoon on the upper left humerus, which resulted in progressive pain and swelling of the whole left upper limb and impairment of movement and sensation. The tight bandage was removed after 48 h and fasciotomy was performed at Aljamhuri Hospital in Taiz, Yemen. The child was brought to our hospital after the family was informed about the need for left forearm amputation. We performed four sessions of debridement of the dead muscles and soft tissues of the flexor and extensor compartments of the left upper limb. After three months, the left upper limb healed with fixed flexor contracture of the elbow and wrist joint. Manipulation and release of adhesions and subsequent skin grafting was performed and the elbow joint was kept in extension, the wrist in the neutral position, and the interphalangeal joints in flexion. Although the limb was saved, its aesthetic appearance was retained, and some sensation was achieved, the lost motor function of the forearm (including the hand) was irreversible.
authors.affiliation: General Surgery Department, Alburaihy Hospital, Taiz, Yemen.
authors.forename: Hind
authors.initials: H
authors.lastname: Mahmood
authors.affiliation: General Surgery Department, Alburaihy Hospital, Taiz, Yemen. azahrahussain@yahoo.com.|General Surgery Department, Princess Royal University Hospital, Farnborough Common, Kent, UK. azahrahussain@yahoo.com.|General Surgery Department, Princess Royal University Hospital, Farnborough Common, Orpington, BR6 8ND, Kent, UK. azahrahussain@yahoo.com.
authors.forename: Abdulzahra
authors.initials: A
authors.lastname: Hussain
keywords: C-reacting protein; Compartment syndrome; Debridement; Fasciotomy; Volkmann ischemic contracture
references.citation: Hand Clin. 2006 Feb;22(1):99-111
references.pmid: 16504782
references.citation: Br J Dermatol. 2004 Feb;150(2):357-63
references.pmid: 14996111
references.citation: Ned Tijdschr Geneeskd. 2004 Nov 6;148(45):2235-40
references.pmid: 15568631
references.citation: J Bone Joint Surg Am. 2008 May;90(5):1121-32
references.pmid: 18451407
references.citation: J Am Acad Orthop Surg. 2008 Jan;16(1):30-40
references.pmid: 18180390
references.citation: Chirurg. 1998 Nov;69(11):1252-6
references.pmid: 9864638
references.citation: Clin Orthop Relat Res. 2005 Feb;(431):42-9
references.pmid: 15685054
references.citation: World J Gastroenterol. 2008 Jun 14;14(22):3541-8
references.pmid: 18567084
references.citation: Chir Narzadow Ruchu Ortop Pol. 1999;64(6):609-13
references.pmid: 10765476
references.citation: Ann Plast Surg. 2000 Sep;45(3):313-7
references.pmid: 10987535
references.citation: Khirurgiia (Sofiia). 2007;(5):33-7
references.pmid: 18580830
references.citation: J Pediatr Orthop. 2008 Mar;28(2):139-41
references.pmid: 18388704
references.citation: J Pediatr Orthop B. 2006 Jan;15(1):51-7
references.pmid: 16280721
references.citation: Int Orthop. 2009 Feb;33(1):237-41
references.pmid: 18365192