"I can sleep peacefully all night and it has not been possible before. What is important, with Hyalutidin, there was no stomach discomfort, which is important in pharmacological treatment. The product is well worth the money. "

Wanda Bąk

"After 30 days of starting supplementation, we observed a significant reduction in unpleasant knee friction. Moreover, the patient also stopped complaining about knee pain. The above case encouraged me to further recommend Hyalutidin to patients undergoing rehabilitation. "

Łukasz Hawełka

" My 82-year-old father-in-law after a month's treatment forgot about pain and restored his mobility, so I can recommend this preparation with a clear conscience."

Jerzy Skarżyński

Volkmann's syndrome

Volkmann's syndrome , also called Volkmann's contracture or ischemic contracture , is a kind of muscle degeneration caused by the ischemia and accompanied by the necrosis of nerves. This condition is caused by a traumatic ischemia of the limb. These changes are progressive and occur mainly along with the long bone fractures , usually in the upper limb ( supracondylar fracture of the humerus in the extensor mechanism , accounting for approximately ¾ of cases and, less commonly, breaking the bones of the forearm ) . Often it is also the result of too tight plaster cast which may compress the blood vessels and nerves. If the pressure lasts about 5-10 hours , it results in irreversible changes in the muscle , but after 3-6 hours the irreversible changes occur in the nerves

 

Among  others,  less frequent causes of Volkmann's syndrome  are the sprains, bruising , damage to the artery which causes ischemia . Volkmann's contracture may also affect  the lower limb but less frequently than  the upper limb. It is then primarily caused  by supracondylar femur fractures  or  tibia fracture.

 

The initial symptoms of ischemic contracture is a persistent burning pain, accompanied by a livid discoloration of fingers and their swelling, as well as tingling and numbness. In addition, there is a limited mobility in the fingers and hand and disturbance of bathyesthesia , that is, deep sensibility as well as and proprioceptive sensibility in this area. The radial artery pulse is barely palpable. Along with the progression of degenerative changes appearing as a result of Volkmann's syndrome, the contractures and fibrosis of the muscles affected by ischemia occur. Fingers are set in the flexion position in the interphalangeal joints and in hyperextension in metacarpophalangeal joints , whereas the thumb is fixed in position of flexion and adduction, and the wrist - in the position of palmar flexion. The skin becomes thin and the decalcification of the bones occur. This syndrome most often affects children about 5-8 years of age.

 

The therapeutic effect in the case of the occurrence of Volkmann's syndrome  should begin as soon as possible and should be aimed at restoring the blood circulation and improve the blood supply to the affected limb.

 

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