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March 2, 1907


Author Affiliations

Professor of Surgery in the University of Denver. DENVER.

JAMA. 1907;XLVIII(9):759-765. doi:10.1001/jama.1907.25220350017001d

The immediate and remote effects of overtight fracture dressings on the muscles of the extremities, essentially a myositis, were first made known by Richard Volkmann1 in 1875. Volkmann reported but one case of which we have knowledge. This was in the lower extremity and is one of two cases cited here, the remaining fifty of the fifty-two cases described in this paper involving the upper extremity. Further, Volkmann's patient was practically an adult, his age being 16 years, and, as will be shown below, the lesion which is known by Volkmann's name is pre-eminently one of childhood, the great majority of patients being between the ages of 3 and 12, while in turn the greater number of these were between the ages of 5 and 10.

In 1884 Leser2 published a short monograph on the subject, reporting no less than seven clinical cases. He also investigated the matter

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