Assmus H, Mischkowsky T, Kröger M
Z Orthop Ihre Grenzgeb. 1975 Dec;113(6):1057-64.
Reporting 14 own cases symptomatology and treatment of the common ischemic syndromes of the extremities (Volkmann's contracture, thumb adduction contracture respectively contracture of the intrinsic hand muscles and anterior tibial syndrome) including the regularly concomitant nerve lesions are discussed. Edema and compression beyond the primary ischemia are essential factors in pathogenesis of nerve and muscle lesions. The electromyographic examination is helpful in diagnosis, prognosis and treatment of the severe sequelae of nerve and muscle. Since late diagnosis yields poor therapeutical results, early recognition of ischemic states and prophylaxis are most important.
报告了14例自身病例，讨论了肢体常见缺血综合征（分别为Volkmann挛缩、拇指内收挛缩及手部内在肌挛缩和胫前综合征）的症状及治疗，包括经常伴随的神经损伤。原发性缺血之外的水肿和压迫是神经和肌肉损伤发病机制中的重要因素。肌电图检查有助于神经和肌肉严重后遗症的诊断、预后评估及治疗。由于诊断延迟会导致治疗效果不佳，因此早期识别缺血状态及预防最为重要。
