Mészáros Iván
Veszprém Megyei Csolnoky Ferenc Kórház-Rendelointézet, Baleseti Sebészeti és Ortopédiai Osztály, Veszprém.
Orv Hetil. 2009 Jan 4;150(1):11-7. doi: 10.1556/OH.2009.28515.
The author calls the attention, with reference to the four cases observed lately, to the reappearence of the Volkmann's ischaemic contracture, which was described at the end of the 19th century, but has been almost forgotten with the developing of traumatology. It discusses the reasons of development, the results and the treatment possibilities of the illness. It emphasizes that a non-diagnosed or non-recognised forearm compartment syndrome which has been mistreated, can cause a symptom collection of different seriousness, which reduces the function of the hands considerably and which is difficult to handle. Prevention is considered to be the most important. It suggests that only an experienced specialist, who is familiar with hand surgery, should treat the developed contracture. It reveals that, differently from the classical way of its developing, nowadays the other etiological contractures are coming to the front. Therefore the important point is that not only the trauma surgeons but also the representatives of other disciplines should be aware of the rare syndrome which has serious consequences.
作者结合最近观察到的四个病例，提请注意Volkmann缺血性挛缩的再次出现。这种挛缩在19世纪末就有描述，但随着创伤学的发展已几乎被遗忘。本文讨论了该病症的发展原因、结果及治疗可能性。强调未经诊断或未被认识且治疗不当的前臂骨筋膜室综合征，可导致一系列严重程度不同的症状，极大地降低手部功能且难以处理。预防被认为是最重要的。建议只有熟悉手外科的经验丰富的专家才能治疗已发生的挛缩。揭示出，与经典的发病方式不同，如今其他病因导致的挛缩日益凸显。因此重要的是，不仅创伤外科医生，其他学科的代表也应了解这种后果严重的罕见综合征。
