Gowda T Binay, Sharma Ambrish, Nandeesh S, Raju K P
Department of Orthopedics, BGS Global Institute of Medical Sciences, BGS Health and Education City, Bengaluru, Karnataka, India.
J Orthop Case Rep. 2025 Sep;15(9):138-142. doi: 10.13107/jocr.2025.v15.i09.6044.
The Volkmann's ischemic contracture (VIC) of the forearm is a sequel of the compartment syndrome of the forearm. We present a case of VIC treated by the Max page operation with a good functional outcome.
We report a case of 14-year-old boy with fingers flexion contracture, decreased hand mobility and pain on his left hand. He had a history of left forearm fracture and that was treated by a traditional bonesetter with herbs and cardboards 6 months back. Later he started to have pain and deformity of left hand for which they came to the BGS Global Institute of Medical Sciences and diagnosed with VIC and started with antibiotics, analgesics and performed a Max Page operation after thorough work up.
Tight external splint age for supracondylar fractures of the humerus was the most common cause of ischemic contracture. The treatment of an established contracture is complicated and depends on the severity of the infarction and the affected muscle and nerve tissue. Flexor origin slide was the preferred treatment if the flexors still retain adequate strength. The procedure is simple and easy to perform. Adequate muscle release and proper post-operative physiotherapy are key to achieving good results.
VIC is not uncommon following a fracture treated in a traditional bonesetter. For moderate VIC, the flexor origin slide procedure and tendon transfer could still give benefit.
前臂Volkmann缺血性挛缩（VIC）是前臂骨筋膜室综合征的后遗症。我们报告一例采用Max Page手术治疗的VIC病例，功能预后良好。
我们报告一例14岁男孩，其左手手指屈曲挛缩、手部活动度降低且疼痛。他有左前臂骨折病史，6个月前由传统接骨师用草药和纸板进行了治疗。后来他开始出现左手疼痛和畸形，为此来到BGS全球医学科学研究所，被诊断为VIC，并开始使用抗生素、镇痛药，在全面检查后进行了Max Page手术。
肱骨髁上骨折使用过紧的外部夹板是缺血性挛缩最常见的原因。已形成挛缩的治疗很复杂，取决于梗死的严重程度以及受影响的肌肉和神经组织。如果屈肌仍保留足够的力量，屈肌起点滑动术是首选治疗方法。该手术操作简单。充分的肌肉松解和适当的术后物理治疗是取得良好效果的关键。
在传统接骨师处治疗骨折后，VIC并不少见。对于中度VIC，屈肌起点滑动术和肌腱转移术仍可能有益。
