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Volkmann's contracture. Other names. Volkmann's ischaemic contracture. Specialty. Orthopaedics. Volkmann's contracture is a permanent flexion contracture of the hand at the wrist, resulting in a claw-like deformity of the hand and fingers. Passive extension of fingers is restricted and painful. [1]
Swelling and vascular injury following the fracture can lead to the development of the compartment syndrome which leads to long-term complication of Volkmann's contracture (fixed flexion of the elbow, pronation of the forearm, flexion at the wrist, and joint extension of the metacarpophalangeal joint). Therefore, early surgical reduction is ...
Therefore, if there is no active elbow extension, elbow extension reconstruction surgery should precede any hand surgery. A contraindication specifically for posterior deltoid to triceps transfer is a flexion contracture of the elbow, biceps to triceps transfer might then be a possible transfer for elbow extension reconstruction.
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or ‘Spinster’s Claw’, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
Ulnar neuropathy at the cubital tunnel is diagnosed based on characteristic symptoms and signs. Intermittent or static numbness in the small finger and ulnar half of the ring finger, weakness or atrophy of the first dorsal interosseous, positive Tinel sign over the ulnar nerve proximal to the cubital tunnel, and positive elbow flexion test (elicitation of paresthesia in the small and ring ...
Elbow extension test. The elbow extension test is simple test that can be administered as part of the physical exam to help guide healthcare providers diagnosis and management of acute elbow fractures. The elbow extension test is performed when an elbow fracture, most commonly caused by trauma, is suspected as the source of pain and dysfunction.
Golfer's elbow, or medial epicondylitis, is tendinosis (or more precisely enthesopathy) of the medial common flexor tendon on the inside of the elbow. [ 1 ] It is similar to tennis elbow, which affects the outside of the elbow at the lateral epicondyle. The tendinopathy results from overload or repetitive use of the arm, causing an injury ...
Elbow/knee flexion contractures- an inability to fully straighten the arm or leg; Cleft lip- the presence of one or two vertical fissures in the upper lip; can be on one side (unilateral) or on both sides (bilateral) Cleft palate- opening in the roof of the mouth
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