Volkmann’s contracture

A disorder in which the wrist and fingers become permanently fixed in a bent position. It occurs because of an inadequate blood supply to the forearm muscles that control the wrist and fingers as a result of an injury. Initially, the fingers become cold, numb, and white or blue. Finger movements are weak and painful, and there is no pulse at the wrist. Unless treatment is started within a few hours, wrist and finger deformity develops. Treatment is by manipulation back into position of any displaced bones, followed, if necessary, by surgical restoration of blood flow in the forearm. If there is permanent deformity, physiotherapy may help to restore function.

 

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