The use of CT scan in evaluating Volkmann's syndrome in the limbs.

Autor: Landi A; Istituto di Clinica Ortopedica e Traumatologica dell'Università, Modena., De Santis G, Sacchetti GL, Ciuccarelli C, Luchetti R, Bedeschi P
Jazyk: angličtina
Zdroj: Italian journal of orthopaedics and traumatology [Ital J Orthop Traumatol] 1989 Dec; Vol. 15 (4), pp. 521-33.
Abstrakt: Between January 1980 and October 1986 26 cases of Volkmann's syndrome were submitted to preoperative CT scan. Thirteen were localised in the upper limb, 11 in the lower limb, and 2 were cases of pseudo-Volkmann's disease. CT scan allowed us to confirm the densitometric features and distribution of muscle infarction in the various muscle planes. Thus, two groups were distinguished, each with different densitometric features: a first group with diffuse hypodensity of the muscular sheaths with unclear borders, and a coefficient of attenuation at approximately 30-40 H.U., which at operation corresponded to diffuse fibrosis; a second group with defined hypodensity of the various muscle groups equal to 10-20 H.U., which at operation gave a macroscopic picture of infarction. CT scan provides a detailed preoperative topographical and morphological evaluation of the infarction area, and therefore a treatment plan based on a more accurate knowledge of the anatomical and pathological lesions.
Databáze: MEDLINE