Pseudo-Volkmann Contracture: A Case Report.

Area of Science:

• Orthopedics
• Hand Surgery
• Musculoskeletal Disorders

Background:

• Pseudo-Volkmann contracture results from mechanical entrapment of flexor myotendinous units following both-bone forearm fractures.
• Unlike true Volkmann contracture, it is not associated with ischemia or compartment syndrome and lacks intraoperative muscle fibrosis.

Observation:

• Patients typically exhibit an inability to actively or passively extend fingers with the wrist in extension.
• Finger extension becomes possible when the wrist is flexed.

Findings:

• A case study details a 16-year-old female with pseudo-Volkmann contracture following a pediatric forearm fracture, diagnosed 12 years later.
• Delayed diagnosis occurred despite initial recognition of finger flexion issues, attributed to parental reassurance and satisfactory functional abilities.

Implications:

• Understanding the distinct pathophysiology of pseudo-Volkmann contracture is crucial for accurate diagnosis and timely intervention.
• Prompt management can prevent the progression to chronic flexion contractures and improve patient outcomes.
• This case highlights the importance of persistent medical evaluation for pediatric musculoskeletal injuries, even with apparent functional compensation.