Volkmann's ischemic contracture of the upper extremity

M. J. Botte, M. A.E. Keenan, R. H. Gelberman

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Upper extremity deformity of ischemic contracture usually includes elbow flexion, forearm pronation, wrist flexion, thumb flexion and adduction, digital metacarpophalangeal joint extension, and interphalangeal joint flexion. Treatment of mild contractures consists of either nonoperative management with a comprehensive rehabilitation program (to increase range of motion and strength) or operative management consisting of infarct excision or tendon lengthening. Treatment of moderate-to-severe contractures consists of release of secondary nerve compression, treatment of contractures (with tendon lengthening or recession), tendon or free-tissue transfers to restore lost function, and/or salvage procedures for the severely contracted or neglected extremity.

Original languageEnglish
Pages (from-to)483-497
Number of pages15
JournalHand clinics
Issue number3
StatePublished - Sep 7 1998


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