Ischemic Contracture
Contracture
Dupuytren Contracture
Cardioplegic Solutions
Phosphocreatine
Myocardial Reperfusion Injury
Lactic Acid
Myocardial Reperfusion
Myocardial Ischemia
Glycogen
Heart Arrest, Induced
Hip Contracture
Myocardium
Adenosine Triphosphate
Malignant Hyperthermia
Joint Capsule
Implant Capsular Contracture
Caffeine
Muscle Contraction
Splints
Clostridium histolyticum
Anura
Fascia
Hand Deformities, Acquired
The evolution of the compartment syndrome since 1948 as recorded in the JBJS (B). (1/7)
This paper describes how we came to understand the pathophysiology of Volkmann's ischaemic contracture with references to relevant papers in this Journal, and the investigation and management of acute compartment syndrome is briefly discussed. (+info)Ischemic preconditioning of the whole heart confers protection on subsequently isolated ventricular myocytes. (2/7)
Current cellular models of ischemic preconditioning (IPC) rely on inducing preconditioning in vitro and may not accurately represent complex pathways triggered by IPC in the intact heart. Here, we show that it is possible to precondition the intact heart and to subsequently isolate individual ventricular myocytes that retain the protection triggered by IPC. Myocytes isolated from Langendorff-perfused hearts preconditioned with three cycles of ischemia-reperfusion were exposed to metabolic inhibition and reenergization. Injury was assessed from induction of hypercontracture and loss of Ca(2+) homeostasis and contractile function. IPC induced an immediate window of protection in isolated myocytes, with 64.3 +/- 7.6% of IPC myocytes recovering Ca(2+) homeostasis compared with 16.9 +/- 2.4% of control myocytes (P < 0.01). Similarly, 64.1 +/- 5.9% of IPC myocytes recovered contractile function compared with 15.3 +/- 2.2% of control myocytes (P < 0.01). Protection was prevented by the presence of 0.5 mM 5-hydroxydecanoate during the preconditioning stimulus. This early protection disappeared after 6 h, but a second window of protection developed 24 h after preconditioning, with 54.9 +/- 4.7% of preconditioned myocytes recovering Ca(2+) homeostasis compared with 12.6 +/- 2.9% of control myocytes (P < 0.01). These data show that "true" IPC of the heart confers both windows of protection in the isolated myocytes, with a similar temporal relationship to in vivo preconditioning of the whole heart. The model should allow future studies in isolated cells of the protective mechanisms induced by true ischemia. (+info)Ischemia enhances translocation of connexin43 and gap junction intercellular communication, thereby propagating contraction band necrosis after reperfusion. (3/7)
BACKGROUND: In ischemia-reperfusion, contraction band necrosis (CBN) is distributed mainly to the lateral border of the risk area and does not spread into the non-risk area beyond the border. It has been suggested that CBN is propagated through gap junctions (GJs), but it is unclear how GJs transmit CBN exclusively in the risk area. METHODS AND RESULTS: Coronary occlusion for 30 min in rat increased the level of connexin43 (Cx43) protein in the 100,000 x g pellet fraction to 1.5-fold and decreased that in the 1,000 x g pellet to half in the risk area compared with the non-risk area. Immunohistochemical analysis showed an increase of Cx43 at intercalated disks in the risk area. A dye transfer assay demonstrated enhancement of GJ intercellular communication (GJIC) in the risk area compared with the non-risk area in the same section. Administration of a GJ blocker, carbenoxolone, at the onset of reperfusion following 30 min of ischemia reduced the CBN area (1/3 vs PBS) in 5 min of reperfusion and limited the infarct size (2/3 vs PBS) in 6 h of reperfusion. CONCLUSIONS: These data suggest that ischemia enhances translocation of Cx43 to GJs, thereby promoting propagation of CBN exclusively in the risk area through enhanced GJIC after reperfusion. (+info)Role of sarcoplasmic reticulum in mitochondrial permeability transition and cardiomyocyte death during reperfusion. (4/7)
(+info)Volkmann ischemic contracture in a newborn. (5/7)
(+info)Results of the Max Page muscle sliding operation for the treatment of Volkmann's ischemic contracture of the forearm. (6/7)
(+info)Volkmann's contracture of the forearm owing to an insect bite: a case report and review of the literature. (7/7)
(+info)Ischemic contracture is not a widely recognized medical term, but it seems to be used in the context of pathological conditions that result from reduced blood flow (ischemia) to muscles or other tissues, leading to irreversible shortening and hardening of the affected muscle fibers. This process can cause restricted mobility and deformity in the affected area.
A more commonly used term is "Volkmann's contracture," which refers to a specific type of ischemic contracture that occurs in the forearm as a result of compartment syndrome. Compartment syndrome is a serious condition characterized by increased pressure within a confined space (compartment) in the body, typically in the arm or leg, leading to insufficient blood flow and oxygen supply to the muscles and nerves within that space. If left untreated, it can cause muscle and nerve damage, resulting in contracture and loss of function.
In summary, ischemic contracture is a less specific term for a condition characterized by reduced blood flow to muscles or other tissues, leading to irreversible shortening and hardening of the affected fibers. Volkmann's contracture is a more commonly used term that refers to a specific type of ischemic contracture in the forearm caused by compartment syndrome.
A contracture, in a medical context, refers to the abnormal shortening and hardening of muscles, tendons, or other tissue, which can result in limited mobility and deformity of joints. This condition can occur due to various reasons such as injury, prolonged immobilization, scarring, neurological disorders, or genetic conditions.
Contractures can cause significant impairment in daily activities and quality of life, making it difficult for individuals to perform routine tasks like dressing, bathing, or walking. Treatment options may include physical therapy, splinting, casting, medications, surgery, or a combination of these approaches, depending on the severity and underlying cause of the contracture.
Dupuytren contracture is a medical condition that affects the hand, specifically the fascia, which is a layer of connective tissue beneath the skin of the palm. In this condition, the fascia thickens and shortens, causing one or more fingers to bend towards the palm and making it difficult to straighten them. The ring finger and little finger are most commonly affected, but the middle finger and thumb can also be involved.
The exact cause of Dupuytren contracture is not known, but it is more common in men than women and tends to run in families. It is also associated with certain medical conditions such as diabetes, seizures, and alcoholism. There is no cure for Dupuytren contracture, but treatments such as surgery or needle aponeurotomy can help relieve symptoms and improve hand function.
Cardioplegic solutions are specially formulated liquids used in medical procedures to induce cardiac arrest and protect the heart muscle during open-heart surgery. These solutions typically contain a combination of electrolytes, such as potassium and magnesium, which stop the heart from beating by interrupting its electrical activity. They may also include energy substrates, buffers, and other components to maintain the health and function of the heart cells during the period of arrest. The specific formulation of cardioplegic solutions can vary depending on the needs of the patient and the preferences of the medical team.
Phosphocreatine (PCr) is a high-energy phosphate compound found in the skeletal muscles, cardiac muscle, and brain. It plays a crucial role in energy metabolism and storage within cells. Phosphocreatine serves as an immediate energy reserve that helps regenerate ATP (adenosine triphosphate), the primary source of cellular energy, during short bursts of intense activity or stress. This process is facilitated by the enzyme creatine kinase, which catalyzes the transfer of a phosphate group from phosphocreatine to ADP (adenosine diphosphate) to form ATP.
In a medical context, phosphocreatine levels may be assessed in muscle biopsies or magnetic resonance spectroscopy (MRS) imaging to evaluate muscle energy metabolism and potential mitochondrial dysfunction in conditions such as muscular dystrophies, mitochondrial disorders, and neuromuscular diseases. Additionally, phosphocreatine depletion has been implicated in various pathological processes, including ischemia-reperfusion injury, neurodegenerative disorders, and heart failure.
Diacetyl is a volatile, yellow-green liquid that is a byproduct of fermentation and is used as a butter flavoring in foods. The chemical formula for diacetyl is CH3COCH3. It has a buttery or creamy taste and is often added to microwave popcorn, margarine, and other processed foods to give them a buttery flavor.
Diacetyl can also be found in some alcoholic beverages, such as beer and wine, where it is produced naturally during fermentation. In high concentrations, diacetyl can have a strong, unpleasant odor and taste.
There has been concern about the potential health effects of diacetyl, particularly for workers in factories that manufacture artificial butter flavorings. Some studies have suggested that exposure to diacetyl may increase the risk of developing lung disease, including bronchiolitis obliterans, a serious and sometimes fatal condition characterized by scarring and narrowing of the airways in the lungs. However, more research is needed to fully understand the health effects of diacetyl and to determine safe levels of exposure.
Lactates, also known as lactic acid, are compounds that are produced by muscles during intense exercise or other conditions of low oxygen supply. They are formed from the breakdown of glucose in the absence of adequate oxygen to complete the full process of cellular respiration. This results in the production of lactate and a hydrogen ion, which can lead to a decrease in pH and muscle fatigue.
In a medical context, lactates may be measured in the blood as an indicator of tissue oxygenation and metabolic status. Elevated levels of lactate in the blood, known as lactic acidosis, can indicate poor tissue perfusion or hypoxia, and may be seen in conditions such as sepsis, cardiac arrest, and severe shock. It is important to note that lactates are not the primary cause of acidemia (low pH) in lactic acidosis, but rather a marker of the underlying process.
Myocardial reperfusion injury is a pathological process that occurs when blood flow is restored to the heart muscle (myocardium) after a period of ischemia or reduced oxygen supply, such as during a myocardial infarction (heart attack). The restoration of blood flow, although necessary to salvage the dying tissue, can itself cause further damage to the heart muscle. This paradoxical phenomenon is known as myocardial reperfusion injury.
The mechanisms behind myocardial reperfusion injury are complex and involve several processes, including:
1. Oxidative stress: The sudden influx of oxygen into the previously ischemic tissue leads to an overproduction of reactive oxygen species (ROS), which can damage cellular structures, such as proteins, lipids, and DNA.
2. Calcium overload: During reperfusion, there is an increase in calcium influx into the cardiomyocytes (heart muscle cells). This elevated intracellular calcium level can disrupt normal cellular functions, leading to further damage.
3. Inflammation: Reperfusion triggers an immune response, with the recruitment of inflammatory cells, such as neutrophils and monocytes, to the site of injury. These cells release cytokines and other mediators that can exacerbate tissue damage.
4. Mitochondrial dysfunction: The restoration of blood flow can cause mitochondria, the powerhouses of the cell, to malfunction, leading to the release of pro-apoptotic factors and contributing to cell death.
5. Vasoconstriction and microvascular obstruction: During reperfusion, there may be vasoconstriction of the small blood vessels (microvasculature) in the heart, which can further limit blood flow and contribute to tissue damage.
Myocardial reperfusion injury is a significant concern because it can negate some of the benefits of early reperfusion therapy, such as thrombolysis or primary percutaneous coronary intervention (PCI), used to treat acute myocardial infarction. Strategies to minimize myocardial reperfusion injury are an area of active research and include pharmacological interventions, ischemic preconditioning, and remote ischemic conditioning.
Lactic acid, also known as 2-hydroxypropanoic acid, is a chemical compound that plays a significant role in various biological processes. In the context of medicine and biochemistry, lactic acid is primarily discussed in relation to muscle metabolism and cellular energy production. Here's a medical definition for lactic acid:
Lactic acid (LA): A carboxylic acid with the molecular formula C3H6O3 that plays a crucial role in anaerobic respiration, particularly during strenuous exercise or conditions of reduced oxygen availability. It is formed through the conversion of pyruvate, catalyzed by the enzyme lactate dehydrogenase (LDH), when there is insufficient oxygen to complete the final step of cellular respiration in the Krebs cycle. The accumulation of lactic acid can lead to acidosis and muscle fatigue. Additionally, lactic acid serves as a vital intermediary in various metabolic pathways and is involved in the production of glucose through gluconeogenesis in the liver.
Myocardial contraction refers to the rhythmic and forceful shortening of heart muscle cells (myocytes) in the myocardium, which is the muscular wall of the heart. This process is initiated by electrical signals generated by the sinoatrial node, causing a wave of depolarization that spreads throughout the heart.
During myocardial contraction, calcium ions flow into the myocytes, triggering the interaction between actin and myosin filaments, which are the contractile proteins in the muscle cells. This interaction causes the myofilaments to slide past each other, resulting in the shortening of the sarcomeres (the functional units of muscle contraction) and ultimately leading to the contraction of the heart muscle.
Myocardial contraction is essential for pumping blood throughout the body and maintaining adequate circulation to vital organs. Any impairment in myocardial contractility can lead to various cardiac disorders, such as heart failure, cardiomyopathy, and arrhythmias.
Myocardial reperfusion is the restoration of blood flow to the heart muscle (myocardium), usually after a period of ischemia or reduced oxygen supply, such as during a myocardial infarction (heart attack). This can be achieved through various medical interventions, including thrombolytic therapy, percutaneous coronary intervention (PCI), or coronary artery bypass surgery (CABG). The goal of myocardial reperfusion is to salvage the jeopardized myocardium, preserve cardiac function, and reduce the risk of complications like heart failure or arrhythmias. However, it's important to note that while reperfusion is crucial for treating ischemic heart disease, it can also lead to additional injury to the heart muscle, known as reperfusion injury.
Myocardial ischemia is a condition in which the blood supply to the heart muscle (myocardium) is reduced or blocked, leading to insufficient oxygen delivery and potential damage to the heart tissue. This reduction in blood flow typically results from the buildup of fatty deposits, called plaques, in the coronary arteries that supply the heart with oxygen-rich blood. The plaques can rupture or become unstable, causing the formation of blood clots that obstruct the artery and limit blood flow.
Myocardial ischemia may manifest as chest pain (angina pectoris), shortness of breath, fatigue, or irregular heartbeats (arrhythmias). In severe cases, it can lead to myocardial infarction (heart attack) if the oxygen supply is significantly reduced or cut off completely, causing permanent damage or death of the heart muscle. Early diagnosis and treatment of myocardial ischemia are crucial for preventing further complications and improving patient outcomes.
Glycogen is a complex carbohydrate that serves as the primary form of energy storage in animals, fungi, and bacteria. It is a polysaccharide consisting of long, branched chains of glucose molecules linked together by glycosidic bonds. Glycogen is stored primarily in the liver and muscles, where it can be quickly broken down to release glucose into the bloodstream during periods of fasting or increased metabolic demand.
In the liver, glycogen plays a crucial role in maintaining blood glucose levels by releasing glucose when needed, such as between meals or during exercise. In muscles, glycogen serves as an immediate energy source for muscle contractions during intense physical activity. The ability to store and mobilize glycogen is essential for the proper functioning of various physiological processes, including athletic performance, glucose homeostasis, and overall metabolic health.
Induced heart arrest, also known as controlled cardiac arrest or planned cardiac arrest, is a deliberate medical intervention where cardiac activity is temporarily stopped through the use of medications or electrical disruption. This procedure is typically carried out during a surgical procedure, such as open-heart surgery, where the heart needs to be stilled to allow surgeons to work on it safely.
The most common method used to induce heart arrest is by administering a medication called potassium chloride, which stops the heart's electrical activity. Alternatively, an electrical shock may be delivered to the heart to achieve the same effect. Once the procedure is complete, the heart can be restarted using various resuscitation techniques, such as defibrillation or medication administration.
It's important to note that induced heart arrest is a carefully monitored and controlled medical procedure carried out by trained healthcare professionals in a hospital setting. It should not be confused with sudden cardiac arrest, which is an unexpected and often unpredictable event that occurs outside of a medical setting.
A hip contracture is a condition in which the range of motion in the hip joint is limited due to tightness or shortening of the muscles, tendons, or other soft tissues surrounding the joint. This can make it difficult for the person to perform certain movements, such as flexing the hip or bringing the knee up towards the chest. Hip contractures can be caused by a variety of factors, including injury, surgery, prolonged immobility, cerebral palsy, and other neurological conditions. Treatment may include physical therapy, stretching exercises, and in some cases, surgery.
The myocardium is the middle layer of the heart wall, composed of specialized cardiac muscle cells that are responsible for pumping blood throughout the body. It forms the thickest part of the heart wall and is divided into two sections: the left ventricle, which pumps oxygenated blood to the rest of the body, and the right ventricle, which pumps deoxygenated blood to the lungs.
The myocardium contains several types of cells, including cardiac muscle fibers, connective tissue, nerves, and blood vessels. The muscle fibers are arranged in a highly organized pattern that allows them to contract in a coordinated manner, generating the force necessary to pump blood through the heart and circulatory system.
Damage to the myocardium can occur due to various factors such as ischemia (reduced blood flow), infection, inflammation, or genetic disorders. This damage can lead to several cardiac conditions, including heart failure, arrhythmias, and cardiomyopathy.
Adenosine Triphosphate (ATP) is a high-energy molecule that stores and transports energy within cells. It is the main source of energy for most cellular processes, including muscle contraction, nerve impulse transmission, and protein synthesis. ATP is composed of a base (adenine), a sugar (ribose), and three phosphate groups. The bonds between these phosphate groups contain a significant amount of energy, which can be released when the bond between the second and third phosphate group is broken, resulting in the formation of adenosine diphosphate (ADP) and inorganic phosphate. This process is known as hydrolysis and can be catalyzed by various enzymes to drive a wide range of cellular functions. ATP can also be regenerated from ADP through various metabolic pathways, such as oxidative phosphorylation or substrate-level phosphorylation, allowing for the continuous supply of energy to cells.
Arthrogryposis is a medical term that describes a condition characterized by the presence of multiple joint contractures at birth. A contracture occurs when the range of motion in a joint is limited, making it difficult or impossible to move the joint through its full range of motion. In arthrogryposis, these contractures are present in two or more areas of the body.
The term "arthrogryposis" comes from two Greek words: "arthro," meaning joint, and "gyros," meaning curved or bent. Therefore, arthrogryposis literally means "curving of the joints."
There are many different types of arthrogryposis, each with its own specific set of symptoms and causes. However, in general, arthrogryposis is caused by decreased fetal movement during pregnancy, which can be due to a variety of factors such as genetic mutations, nervous system abnormalities, or environmental factors that restrict fetal movement.
Treatment for arthrogryposis typically involves a combination of physical therapy, bracing, and surgery to help improve joint mobility and function. The prognosis for individuals with arthrogryposis varies depending on the severity and type of contractures present, as well as the underlying cause of the condition.
Malignant hyperthermia (MH) is a rare, but potentially life-threatening genetic disorder that can occur in susceptible individuals as a reaction to certain anesthetic drugs or other triggers. The condition is characterized by a rapid and uncontrolled increase in body temperature (hyperthermia), muscle rigidity, and metabolic rate due to abnormal skeletal muscle calcium regulation.
MH can develop quickly during or after surgery, usually within the first hour of exposure to triggering anesthetics such as succinylcholine or volatile inhalational agents (e.g., halothane, sevoflurane, desflurane). The increased metabolic rate and muscle activity lead to excessive production of heat, carbon dioxide, lactic acid, and potassium, which can cause severe complications such as heart rhythm abnormalities, kidney failure, or multi-organ dysfunction if not promptly recognized and treated.
The primary treatment for MH involves discontinuing triggering anesthetics, providing supportive care (e.g., oxygen, fluid replacement), and administering medications to reduce body temperature, muscle rigidity, and metabolic rate. Dantrolene sodium is the specific antidote for MH, which works by inhibiting calcium release from the sarcoplasmic reticulum in skeletal muscle cells, thereby reducing muscle contractility and metabolism.
Individuals with a family history of MH or who have experienced an episode should undergo genetic testing and counseling to determine their susceptibility and take appropriate precautions when receiving anesthesia.
A joint capsule is the fibrous sac that encloses a synovial joint, which is a type of joint characterized by the presence of a cavity filled with synovial fluid. The joint capsule provides stability and strength to the joint, while also allowing for a range of motion. It consists of two layers: an outer fibrous layer and an inner synovial membrane. The fibrous layer is made up of dense connective tissue that helps to stabilize the joint, while the synovial membrane produces synovial fluid, which lubricates the joint and reduces friction during movement.
Capsular contracture is a complication that can occur after a breast augmentation or reconstruction surgery, where the body forms a capsule (a normal biological response) around the foreign material, such as a breast implant. However, in capsular contracture, this capsule tightens and squeezes the implant, causing the breast to feel hard, painful, and sometimes misshapen. It is classified into four grades (I-IV) based on the severity of symptoms, with grade IV indicating the most severe form, characterized by significant pain, implant palpability, and distortion.
Caffeine is a central nervous system stimulant that occurs naturally in the leaves, seeds, or fruits of some plants. It can also be produced artificially and added to various products, such as food, drinks, and medications. Caffeine has a number of effects on the body, including increasing alertness, improving mood, and boosting energy levels.
In small doses, caffeine is generally considered safe for most people. However, consuming large amounts of caffeine can lead to negative side effects, such as restlessness, insomnia, rapid heart rate, and increased blood pressure. It is also possible to become dependent on caffeine, and withdrawal symptoms can occur if consumption is suddenly stopped.
Caffeine is found in a variety of products, including coffee, tea, chocolate, energy drinks, and some medications. The amount of caffeine in these products can vary widely, so it is important to pay attention to serving sizes and labels to avoid consuming too much.
Muscle contraction is the physiological process in which muscle fibers shorten and generate force, leading to movement or stability of a body part. This process involves the sliding filament theory where thick and thin filaments within the sarcomeres (the functional units of muscles) slide past each other, facilitated by the interaction between myosin heads and actin filaments. The energy required for this action is provided by the hydrolysis of adenosine triphosphate (ATP). Muscle contractions can be voluntary or involuntary, and they play a crucial role in various bodily functions such as locomotion, circulation, respiration, and posture maintenance.
A splint is a device used to support, protect, and immobilize injured body parts, such as bones, joints, or muscles. It can be made from various materials like plastic, metal, or fiberglass. Splints are often used to keep the injured area in a stable position, reducing pain, swelling, and further damage while the injury heals. They come in different shapes and sizes, tailored to fit specific body parts and injuries. A splint can be adjustable or custom-made, depending on the patient's needs. It is essential to follow healthcare professionals' instructions for using and caring for a splint to ensure proper healing and prevent complications.
'Clostridium histolyticum' is a gram-positive, anaerobic, spore-forming bacterium that is known to produce several exoenzymes, including collagenases and gelatinases. This organism is commonly found in soil and the intestinal tracts of humans and animals. It can cause severe soft tissue infections, including gas gangrene, due to its ability to produce powerful toxins that can cause tissue necrosis. 'Clostridium histolyticum' is also used in medical treatments for conditions such as chronic wounds and urinary tract disorders due to its collagenase production.
"Anura" is a term used in the field of zoology, particularly in the study of amphibians. It refers to a order that includes frogs and toads. The name "Anura" comes from the Greek language, with "an-" meaning "without," and "oura" meaning "tail." This is a reference to the fact that members of this order lack tails in their adult form.
The Anura order is characterized by several distinct features:
1. They have short, powerful legs that are well adapted for jumping or leaping.
2. Their forelimbs are smaller and less specialized than their hind limbs.
3. Most anurans have a moist, glandular skin, which helps them to breathe and absorb water.
4. Anura includes both aquatic and terrestrial species, with varying degrees of adaptations for each environment.
5. They lay their eggs in water, and their larvae (tadpoles) are aquatic, undergoing a process called metamorphosis to transform into the adult form.
Anura contains approximately 7,000 known species, making it one of the largest orders of vertebrates. They have a cosmopolitan distribution and can be found on every continent except Antarctica. Anurans play essential roles in many ecosystems as both predators and prey, contributing to the regulation of insect populations and serving as indicators of environmental health.
A fascia is a band or sheet of connective tissue, primarily collagen, that covers, connects, and separates muscles, organs, and other structures in the body. It provides support and stability, allows for smooth movement between structures, and has the ability to transmit forces throughout the body. Fascia is found throughout the body, and there are several layers of it, including superficial fascia, deep fascia, and visceral fascia. Injury, inflammation, or strain to the fascia can cause pain and restriction of movement.
Acquired hand deformities refer to structural changes in the hand or fingers that occur after birth, as a result of injury, illness, or other external factors. These deformities can affect any part of the hand, including the bones, joints, muscles, tendons, ligaments, and nerves. Common causes of acquired hand deformities include trauma, infection, degenerative diseases such as arthritis, tumors, and neurological conditions.
The symptoms of acquired hand deformities can vary depending on the severity and location of the deformity. They may include pain, stiffness, swelling, decreased range of motion, loss of function, and changes in appearance. Treatment for acquired hand deformities may involve a combination of medical interventions, such as medication, physical therapy, or splinting, as well as surgical procedures to correct the underlying structural problem. The goal of treatment is to relieve symptoms, improve function, and restore normal appearance and movement to the hand.
The elbow joint, also known as the cubitus joint, is a hinge joint that connects the humerus bone of the upper arm to the radius and ulna bones of the forearm. It allows for flexion and extension movements of the forearm, as well as some degree of rotation. The main articulation occurs between the trochlea of the humerus and the trochlear notch of the ulna, while the radial head of the radius also contributes to the joint's stability and motion. Ligaments, muscles, and tendons surround and support the elbow joint, providing strength and protection during movement.
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Vol 3 | Issue 2 | May- Aug 2015 | Journal of Medical Thesis
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Volkmann's ischemic co1
- Adhesions between muscle and bone after forearm fracture mimicking mild Volkmann's ischemic contracture. (republica.gt)
Fasciotomy4
- Emergency fasciotomy is required to prevent progression to Volkmann contracture. (medscape.com)
- In 1914, Murphy was the first to suggest that fasciotomy might prevent Volkmann contracture. (medscape.com)
- He also suggested that tissue pressure and fasciotomy were related to the development of contracture. (medscape.com)
- Regardless of the cause, wide fasciotomy of the anterior compartment must be performed to salvage the ischemic muscles. (medscape.com)
Compartment4
- Foot drop develops because of ischemic contracture of the posterior compartment and is seen if the acute syndrome is not treated. (medscape.com)
- In 1881, Richard von Volkmann, MD, first described upper extremity compartment syndrome as the cause of hand flexor muscle contractures (also known as Volkmann's contracture) caused by posttraumatic ischemic muscle injury. (facs.org)
- Untreated compartment syndrome leads to Volkmanns Ischaemic Contracture. (tipsinplasticsurgery.com)
- Rapid swelling, increased tension, pain, and ischemic necrosis of the muscles of the anterior tibial compartment of the leg, often following excessive PHYSICAL EXERTION. (bvsalud.org)
Flexor3
- In 1881, Richard von Volkmann attempted to ascribe irreversible contractures of the flexor muscles of the hand to ischemic processes in the forearm, in the belief that the problem was caused by massive venous stasis and simultaneous arterial insufficiency secondary to overly tight bandages. (medscape.com)
- Congenital flexor tendon contracture in forelimbs is one of the most prevalent musculoskeletal abnormalities in neonatal calves. (scielo.org.mx)
- The objective of the present report is to describe the case of a calf with severe contracture of the forelimb flexor tendons and its surgical correction by tenotomy of the forelimb tendons. (scielo.org.mx)
Severe contracture1
- People with moderate or severe contracture who need major surgery may not regain full function. (medlineplus.gov)
Capsular Contracture1
- A Critical Look at Capsular Contracture in Subglandular Versus Subpectoral Mammary Augmentation. (concannonplasticsurgery.com)
Myocardial2
- The stone heart syndrome (or Ischemic myocardial contracture) is a Global ischemic contracture of the heart, leading to a firm myocardium and loss of intracavitary volume. (wikipedia.org)
- SOBEL, B. E. - The association of increased plasma MB CPK activity and irreversible ischemic myocardial injury in the dog. (rbccv.org.br)
Irreversible1
- Resultant ischaemic damage may be irreversible within six hours and can result in long-term morbidity and even death. (openorthopaedicsjournal.com)
Forearm5
- Volkmann contracture is a deformity of the hand, fingers, and wrist caused by injury to the muscles of the forearm. (medlineplus.gov)
- Volkmann contracture occurs when there is a lack of blood flow (ischemia) to the forearm. (medlineplus.gov)
- In Volkmann contracture, the muscles of the forearm are severely injured. (medlineplus.gov)
- Symptoms of Volkmann contracture affect the forearm, wrist, and hand. (medlineplus.gov)
- Volkmann contracture (see the image below) is a permanent shortening of forearm muscles, usually resulting from injury, that gives rise to a clawlike deformity of the hand, fingers, and wrist. (medscape.com)
Mild3
- Mild -- contracture of 2 or 3 fingers only, with no or limited loss of feeling. (medlineplus.gov)
- For mild contracture, muscle stretching exercises and splinting the affected fingers may be done. (medlineplus.gov)
- Outcome is usually good for people with mild contracture. (medlineplus.gov)
PARALYSIS1
- He suggested that paralysis and contracture came simultaneously as a result of an interruption to the blood supply of the affected muscles. (openorthopaedicsjournal.com)
Compartments1
- The compartments may need to be released to avoid any excessive swelling that can lead to muscle injury and contractures. (medlineplus.gov)
Myocardium1
- 2. ASHRAF, M. & HALVERSON, C. A. - Structural changes in the freeze-fracture sarcolema of ischemic myocardium. (rbccv.org.br)
Incisions1
- These incisions give adequate exposure while minimizing postoperative contractures. (facs.org)
Injury4
- If the provider suspects Volkmann contracture, detailed questions will be asked about past injury or conditions that affected the arm. (medlineplus.gov)
- The first goal is to prevent the injury that can lead to the contracture. (medlineplus.gov)
- 6, 7] Decreased blood supply to the hand as a result of injury or primary disease of the vessels of the upper extremity is a leading cause of intrinsic muscle contracture. (medscape.com)
- Hypoxic-ischemic brain injury results in cerebral palsy (CP), mental retardation, or learning disabilities in surviving children ( Robertson and Finer, 1985 ). (jneurosci.org)
Muscles1
- Contracture of the interosseous, lumbrical, or hypothenar muscles causes the fingers to stiffen and the hand to become deformed and functionally disabled. (medscape.com)
Joint1
- In addition, WS type 3 has joint contractures, syndactyly or winged scapulae. (eurorad.org)
Tissue1
- he was also the first to suggest that elevated tissue pressure may be causally related to ischemic contracture. (medscape.com)
Hand3
- This leads to contracture deformities of the fingers, hand, and wrist. (medlineplus.gov)
- Untreated, Volkmann contracture results in partial or complete loss of function of the arm and hand. (medlineplus.gov)
- 1. Bunnell S. Ischaemic contracture, local, in the hand. (handtherapyacademy.com)
Cases2
- In 1909, Thomas reviewed the 112 published cases of Volkmann contracture and found fractures to be the predominant cause. (medscape.com)
- During World War II and subsequently, many cases of Volkmann contracture occurred as a result of high-velocity gunshot wounds that caused fractures. (medscape.com)
Prevent1
- He also demonstrated that prompt surgical decompression could prevent these contractures. (openorthopaedicsjournal.com)
Initial1
- Initial treatment for Volkmann contracture consists of removal of occlusive dressings or splitting or removal of casts. (medscape.com)
Function1
- Both physical therapy and occupational therapy are vital to the improvement of range of motion and the return of function in patients with Volkmann contracture. (medscape.com)
Normal1
- The child had normal birth history and no other significant post-natal ischemic event. (eurorad.org)
Condition2
- The condition is also called Volkmann ischemic contracture. (medlineplus.gov)
- This condition is called a contracture . (medlineplus.gov)