Volkmann's ischemic contractures and blowout fractures.

R D Lisman, B C Smith, R Rodgers
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Abstract

Volkmann's ischemic contractures have long been recognized by orthopedic surgeons as a sequela of increased pressure within osseofascial muscle compartments. We present evidence that the same mechanism is a cause of fibrosis and contracture of extraocular muscles following orbital blowout fractures. Surgical treatment of a specific, recognizable type of blowout fracture is proposed.

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Volkmann(氏)缺血性挛缩和爆裂性骨折。
Volkmann的缺血性挛缩早已被骨科医生认为是骨筋膜间室内压力增加的后遗症。我们提出的证据表明,相同的机制是导致眼外肌纤维化和挛缩后眼眶爆裂骨折。手术治疗一种特定的,可识别类型的爆裂骨折提出。
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