Answer :
Final answer:
a)Volkmann's ischemic contracture is the correct answer in this case.
Explanation:
a)Volkmann's ischemic contracture is the correct answer in this case. It is characterized by a claw-like deformity resulting from ischemia and necrosis of the muscles and tissues due to untreated supracondylar fracture. The flexion/contracture of the wrist occurs as a consequence of the ischemic damage to the muscles in the forearm, leading to a loss of function and permanent deformity.
The pathophysiology of Volkmann's ischemic contracture involves compression of the brachial artery, leading to ischemia in the muscles of the forearm. The untreated supracondylar fracture can cause increased pressure in the compartment, compromising blood flow and resulting in tissue damage. This ischemic insult can lead to muscle necrosis and fibrosis, ultimately causing the claw-like deformity observed in Volkmann's contracture.
Management of Volkmann's ischemic contracture involves prompt recognition and intervention, typically through surgical decompression to restore blood flow and prevent further tissue damage. Physical therapy and rehabilitation are also crucial components of the treatment plan to regain functionality and minimize long-term disability. Therefore, choosing the correct diagnosis, Volkmann's ischemic contracture, is vital for initiating appropriate and timely interventions to improve patient outcomes.