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Volkmann’s syndrome

A disorder of the wrist and fingers in which they become permanently fixed in a bent position.

Cause

Volkmann’s contracture occurs because of an inadequate blood supply to the forearms muscles that control the fingers and wrist. This is most likely to be the result of an injury.

Symptoms

Firstly, the fingers become numb, cold, blue, or white. Finger movements are painful and weak and there is no pulse at the wrist. Unless treatment is started within a few hours, finger and wrist deformity develops.

Treatment

Treatment of the condition is by manipulating back into position of displaced bones, followed by, if necessary, by surgical restoration of blood flow in the forearm. If there is permanent deformity, physiotherapy can help to restore the function of afflicted parts.


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