Journal of Bone and Joint Surgery, 1967;49:965-970.
© 1967 by The Journal of Bone and Joint Surgery, Inc
Muscle Infarction and Volkmann's Contracture Following Carbon Monoxide Poisoning
A CASE REPORT
MANUEL ORIZAGA M.D.1,
FERGUS A. DUCHARME M.D.1,
JAMES S. CAMPBELL M.D.1, and
GARTH H. EMBREE M.D.1
1 From the Departments of Pathology, Orthopedic Surgery, and Medicine, Ottawa General Hospital and University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada
Two cases of Volkmann's ischemic contracture following carbon monoxide poisoning are presented with serial histopathological studies. Interruption of the arterial blood flow due to mechanical pressure and increased subfascial tension caused by muscular edema appeared to combine with the already anoxic state produced in the muscles by the carbon monoxide to produce the muscle necrosis.