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Surgery General 40015415

All are true Volkmann ischemic contracture except

A
Ischemic muscle is replaced by fibrous
B
Ulnar nerve palsy may be present
C
Extension deformity of the wrist & fingers
D
Flexion at the metacarpophalangeal
High-Yield Explanation
Ans. c. Extension deformity of the wrist & fingersVOLKMANN'S ISCHEMIAEarly complication of supracondylar fracture.Ischemic injury to the muscles and nerves of the flexor compament of the fore arm.D/t occlusion of brachial aery.Tissue pressure readings within 30 mm Hg of the patient's diastolic blood pressure(perfusion pressureMuscles supplied by anterior interosseus aery are most susceptible, as it is an end aery.Most commonly affected muscle: flexor pollicis longus & medial half of flexor digitorum profundus.Median nerve is most commonly involved.Treatment: fasciotomy

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