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An injury resulting in an outward (valgus) stress on the elbow, such as falling on an outstretched hand causes an avulsion fracture of the medial epicondyle. [citation needed] The medial epicondyle is often the final growth plate (ossification center) to ossify in the elbow. Growth plates are particularly vulnerable to injury compared to bone.
It is named after Richard von Volkmann (1830–1889), the 19th century German doctor who first described it, [4] in a paper on "non-Infective Ischemic conditions of various fascial compartments in the extremities". [5] Because the contracture occurred at the same time as the paralysis, he considered a nerve cause to be unlikely. [6]
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 ...
People with olecranon fractures present with intense elbow pain after a direct blow or fall. [1] Swelling over the bone site is seen and an inability to straighten the elbow is common. Due to the proximity of the olecranon to the ulnar nerve, the injury and swelling may cause numbness and tingling at the fourth and fifth fingers. [1]
Elbow dislocation and radial head or neck fractures are common when one falls on an outstretched hand. [18] Elbow Dislocations are divided into two categories; Simple and complex. Simple dislocations are defined as soft tissue injury whereas complex involves a fracture. [18]
Because dislocations make the knee unstable, 15% of patellas will re-dislocate. [27] Patellar dislocations often occur when the knee is in full extension and sustains a trauma from the lateral to medial side. [28] Elbow: Posterior dislocation, 90% of all elbow dislocations [29] Wrist: Lunate and Perilunate dislocation most common [30]
Arthrofibrosis (from Greek: arthro-joint, fibrosis – scar tissue formation) has been described in most joints like knee, hip, ankle, foot joints, shoulder (frozen shoulder, adhesive capsulitis), elbow (stiff elbow), wrist, hand joints as well as spinal vertebrae. [1] [2] It can occur after injury or surgery or may arise without an obvious ...
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 ...