Severe flexor digitorum profundus muscular adhesion by pseudo-Volkmann’s contracture without fracture: A case report and literature review

Volkmann's ischemic contracture is a condition characterized by permanent ischemic damage to muscles and nerves due to vascular insufficiency, resulting in flexion contractures of the affected limb. In contrast, pseudo-Volkmann's contracture presents with similar clinical features but lacks ischemic damage and has potential for complete recovery. We report a case of a 39-year-old man who developed failure of extension in the middle and ring fingers of the left hand following blunt forearm trauma from a rolling machine. Despite no skin breakage or fracture, his symptoms progressively worsened over 2 months without treatment. Surgical exploration 2 years later revealed severe adhesions of the flexor digitorum profundus muscle at the myotendinous junction to the ulnar periosteum, with immediate recovery after release. This case highlights pseudo-Volkmann's contracture in an adult without fracture, likely due to blunt trauma causing delayed adhesion formation.

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• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Severe flexor digitorum profundus muscular adhesion by pseudo-Volkmann’s contracture without fracture: A case report and literature review ; day:21 ; month:08 ; year:2024 ; Archives of Plastic Surgery ; (21.08.2024)

Contributors, Places and Time

• Contributor: Kim, Jae Woo ; Kim, Jong Chan ; Lee, Dong Chul ; Koh, Sung Hoon ; Kim, Jin Soo ; Roh, Si Young ; Lee, Kyungjin

Further information

• DOI: 10.1055/a-2398-9052
• URN: urn:nbn:de:101:1-2410031117163.972960936404
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.