A Case Report of a Juvenile Volkmann’s Ischemic Contracture
Received Date: Jan 01, 2019 / Accepted Date: Aug 05, 2019 / Published Date: Aug 12, 2019
Aim: This study was conducted to determine the outcome of physiotherapy intervention in a juvenile case of Volkmann’s ischemic contracture.
Methodology: The patient was an 8-year-old female pupil presenting with flexion deformity of the right elbow, wrist and fingers accompanied with pain and difficulty in performing activities of daily living of 5 months onset. She received physiotherapy including home program for 43 sessions with a periodic review of the intervention after the 22nd, 33rd and 43rd treatment sessions.
Results: The outcome variables included pain intensity, range of motion, muscle girth, and functional ability. Ranges of motion changed as follows: elbow flexion 85° to 120°; elbow extension 85° to 120°; wrist flexion 18° to 19°; wrist extension 36° to 46°; pronation 30° to 180°; supination 50° to 180°. The patient demonstrated palpable improvements in all these parameters. Pain also dropped from 7 to 4 and sometimes lesser. There was no significant muscular atrophy in the forearm despite the compromise of the muscle length-tension relationship but in the thenar and hypothenar eminences. A very tiny, subtle and rather tricky to detect anesthetic spot was observed on the palm.
Conclusion: We therefore concluded that physiotherapy had a positive outcome for children with Volkmann’s ischemic contracture and had the potential to reduce the cost of future surgeries for patients.
Keywords: Volkmann’s ischemic contracture; Physiotherapy; Outcomes
Citation: Aiyejusunle CB, Oluwafunmi L, Kehinde AA (2019) A Case Report of a Juvenile Volkmann’s Ischemic Contracture. Physiother Rehabil 4: 169.
Copyright: © 2019 Aiyejusunle CB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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