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VOLKMANN'S CONTRACTURE AS A COMPLICATION OF FRACTURES OF THE FOREARM AND ELBOW
J. NEILL GARBER
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The Clinics of the Royal Infirmary, Manchester, England, and the Hospital for the Ruptured and Crippled, New York City
1939 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1939; 21:154-168 
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Abstract

1. The circulatory complications of forearm fractures may be divided into three classes: A, simple swelling of the hand; B, transitory contracture of the fingers; and C, Volkmann's contracture.

2. Complications of the Class-A and Class-B types are amenable to conservative treatment.

3. Ischaemic contracture, occurring after elbow or forearm fractures, appears to be the result of an almost complete arrest of the circulation in the flexor muscles of the forearm.

4. If the permanent deformity of Volkmann's contracture is to be prevented, the operation of aponeurotomy must be done early after the appearance of the first signs of the disease.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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