Volkmann Ischemic Contracture (Compartment Syndrome of forearm)
Occurs more commonly when forearm is also fractured
Mere lack of a radial pulse does not indicate ischemia unless accompanied by: refusal to open hand, pain with passive extension of fingers, or forearm tendernes
Brachial artery injury - suggested by ecchymosis over anteromedial aspect of forearm
Strong collaterals might mask vascular injury
Occurs more commonly when forearm is also fractured
Mere lack of a radial pulse does not indicate ischemia unless accompanied by: refusal to open hand, pain with passive extension of fingers, or forearm tendernes
Strong collaterals might mask vascular injury
Majority of nerve injuries are neuropraxias without long-term sequelae
Median nerve injury (typically AIN)
Motor: Weakness of hand flexors (difficulty making "OK" sign), abduction of thumb
Sensory: Altered two-point sensation on palmar surface of thumb, IF, MF
Radial nerve injury
Motor: Weakness of wrist extension, thumb extension (thumbs up)
Sensory: Altered sensation in dorsal thumb-index web space
Ulnar nerve injury
Motor: Weakness of index finger abduction
Sensory: Altered two-point discrimination over tip of little finger
Motor: Weakness of hand flexors (difficulty making "OK" sign), abduction of thumb
Sensory: Altered two-point sensation on palmar surface of thumb, IF, MF
Motor: Weakness of wrist extension, thumb extension (thumbs up)
Sensory: Altered sensation in dorsal thumb-index web space
Motor: Weakness of index finger abduction
Sensory: Altered two-point discrimination over tip of little finger
Supracondylar fracture
Adult
Jefferson fracture
Proximal
Torus fracture
Shaft
Pisiform fracture
Distal