Littlefield W G, Hastings H, Strickland J W
Department of Orthopaedic Surgery, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas.
J Hand Surg Am. 1992 Jul;17(4):691-3. doi: 10.1016/0363-5023(92)90318-j.
Five cases of digital flexion contractures after healed forearm fractures were incorrectly diagnosed as mild Volkmann ischemic contractures. All failed to respond to conservative therapy and were considered significant enough to require surgical correction. At surgery, the involved muscle-tendon units were densely adherent to the bone and callus of the fracture site with no evidence of ischemic involvement of the muscle. Lysis of adhesions and lengthening of the contracted muscle corrected the deformities.
五例前臂骨折愈合后出现的手指屈曲挛缩被误诊为轻度Volkmann缺血性挛缩。所有病例对保守治疗均无反应，且被认为严重到需要手术矫正。手术时，受累的肌腱单位与骨折部位的骨和骨痂紧密粘连，没有肌肉缺血受累的迹象。粘连松解和挛缩肌肉延长矫正了畸形。
