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Volkmann's ischemic contractures and blowout fractures
R D Lisman1, B C Smith, R Rodgers
1Department of Ophthalmic Plastic Surgery, Manhattan Eye, Ear & Throat Hospital, New York, New York.
Abstract:
Volkmann's ischemic contractures have long been recognized by orthopedic surgeons as a sequela of increased pressure within osseofascial muscle compartments. We present evidence that the same mechanism is a cause of fibrosis and contracture of extraocular muscles following orbital blowout fractures. Surgical treatment of a specific, recognizable type of blowout fracture is proposed.