Pseudo-Volkmann Contracture: A Case Report

Pseudo-Volkmann contracture, also known as entrapment of the flexor muscles, occurs due to mechanical entrapment of the flexor myotendinous units in the fracture or adhesions after both bone forearm fractures. It differs from Volkmann contracture in that there is no ischemia or compartment syndrome, and there is an absence of muscle fibrosis intra-operatively. Patients with pseudo-Volkmann contracture typically present with an inability to extend the fingers passively or actively when the wrist is in extension. However, finger extension is possible when the wrist is flexed. We present the case of a 16-year-old female who developed pseudo-Volkmann contracture subsequent to sustaining a both bone forearm fracture at the age of 4. Despite early recognition of finger flexion issues, the diagnosis was delayed until the age of 16 due to parental reassurance. Consequently, further medical consultation was not sought as the child exhibited satisfactory functional abilities. Understanding these complications is crucial for administering appropriate treatment and mitigating the risk of long-term issues such as flexion contracture.