Volkmann's ischaemic contracture results from compartment syndrome most commonly associated with which fracture in children?
- A Fracture of the distal radius
- B Monteggia fracture-dislocation
- C Supracondylar fracture of the humerus ✓
- D Fracture of the clavicle
Correct answer: C. Supracondylar fracture of the humerus
Explanation
Supracondylar fracture of the humerus in children is the most common fracture associated with anterior compartment syndrome of the forearm and subsequent Volkmann's ischaemic contracture. The brachial artery is tethered at the fracture site and compressed by haematoma or displaced bone fragments. The flexor compartment of the forearm is at greatest risk; contracture results in wrist flexion, intrinsic minus hand, and pronation deformity. Immediate recognition and fasciotomy are essential.
Reference: Maheshwari Essential Orthopaedics, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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