The most impoant sign in Volkman's ischemia: September 2012
Ans. A i.e. Stretch pain Volkmann's ischemia The posttraumatic syndrome of Volkmarm's ischemia and infarction is the end result of compromise of muscle perfusion within the osteofascial compaments of the forearm. This compament syndrome in the hand and forearm can be a serious and debilitating complication of crush injury. The "closed space" arrangement as well as the paicular neurovascular anatomy make the flexor forearm muscles paicularly susceptible to the cyclic derangement of blood flow, which ultimately results in muscle ischemia and infarction. Pain with passive motion is the most reliable physical finding; however, compament pressure measurement is the only truly reliable method of diagnosis.
Stretch pain
Pallor
Numbness
Obliteration of radial pulse