ISCHEMIC CONTRACTURE OF THE LOWER EXTREMITY
- 1 October 1940
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 41 (4) , 945-959
- https://doi.org/10.1001/archsurg.1940.01210040134007
Abstract
The purpose of this communication is to report 2 cases of disabling deformities of the right lower extremity of eleven and fourteen years' duration respectively, presenting the following features: (1) healed fractures of the femur; (2) massive induration of the muscles of the leg and foot associated with atrophy and loss of motor power below the knee; (3) vascular dysfunction in the involved lower extremity; (4) contractural deformities of the foot and toes; (5) roentgen evidence of extraosseous calcification of the leg, and (6) histologic evidence (in 1 case) of massive degeneration of muscle tissue with fibrous tissue replacement and extensive calcification. In these cases there was a pathologic state in the lower extremity identical with Volkmann's ischemic contracture of the upper extremity. REPORT OF CASES Case 1. —A white man 39 years old had sustained a fracture of the midshaft of the right femur eleven years previously. The fractureThis publication has 0 references indexed in Scilit: