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English Wikipedia
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Volkmann s contracture in children: aetiology and prevention Mubarak SJ; Carroll NCJ Bone Joint Surg Br 1979[Aug]; 61-B (3): 285-93A review was conducted of the records of fifty-five children who were admitted to the Hospital for Sick Children in Toronto between 1955 and 1975 with a diagnosis of Volkmann's contracture in fifty-eight limbs. Ten patients had been transferred to this hospital with established ischaemia after Bryant's traction for a fractured femur; all had a very poor outcome. Thirteen other cases of Volkmann's contracture affecting the superficial posterior compartment had been treated with a fixed Thomas' splint and a Bradford frame after fractures of the femoral shaft. Supracondylar fractures of the elbow resulting in Volkmann's contracture frequently had both an arterial injury and a compartment syndrome. Most of the fifty-five children reviewed here had not had early appropriate treatment. For the past twenty-one years the frequency of Volkmann's contracture has not declined in spite of many published reports on the compartment syndrome, and the hazards of supracondylar fractures and of Bryant's traction.|Adolescent[MESH]|Arm Injuries/*complications/therapy[MESH]|Arteries/injuries[MESH]|Child[MESH]|Child, Preschool[MESH]|Compartment Syndromes/*etiology/prevention & control/therapy[MESH]|Female[MESH]|Femoral Fractures/complications/therapy[MESH]|Forearm Injuries/complications/therapy[MESH]|Fractures, Bone/*complications/therapy[MESH]|Humans[MESH]|Humeral Fractures/complications/therapy[MESH]|Ischemia/*complications/etiology/therapy[MESH]|Leg Injuries/*complications/therapy[MESH]|Male[MESH]|Tibial Fractures/complications/therapy[MESH]|Time Factors[MESH] |
