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Arthur H. Osborne, MD; Lee R. Dorey, MD; J. Paul Harvey, Jr., MD

AMA Arch Surg. 1972;104(6):794-798.

Abstract
Seven patients had prolonged external pressure on the forearm associated with drug-induced comas. All were examined within a few days after the initial injury. Circulation was normal, but nerve and muscle functions were impaired in each case. In five cases surgical excision of the necrotic muscle and neurolysis were done within two weeks of the injury. None of these cases developed significant contractures. Two patients who refused early surgical treatment developed severe Volkmann's contracture.

Author Affiliations
Los Angeles

From the departments of orthopedics, University of Southern California School of Medicine (Drs. Osborne and Harvey) and Los Angeles County-University of Southern California Medical Center (Drs. Osborne, Dorey, and Harvey), Los Angeles.

Footnotes
Accepted for publication March 8, 1972.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 14,1972.

Reprint requests to 3314 N Rancho Rio Bonita Rd, Covina, Calif 91722 (Dr. Osborne).

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