Volkmann ischaemic contracture

Question 1

What are the 5 P’s of compartment syndrome?

Answer 1

Pain
Pallor
Pulseness
Parasthesiaes
Paralysis

Question 2

What are some numerical guides to indicate compartment syndrome?

Answer 2

Absolute ICP ≥ 30 mmHg

Difference between diastolic pressure and ICP ≥ 30 mmHg

Difference between mean arterial pressure and ICP ≥ 40 mmHg

Question 3

What is volkmann ischaemic contracture?

Answer 3

It’s an ischaemic contracture(!) of the forearm, particularly FDP and FPL resulting in a flexed claw like hand (whole hand and all fingers flexed unlike ulnar n injury)

Question 4

What causes Volkmann?

Answer 4

Compartment syndrome in supracondylar fractures

ALSO plaster casts keeping elbow in >90degrees of flexion!!!