Definition:
A contracture is a tightening of muscle, tendons, ligaments, or skin that prevents normal movement. See also:
Alternative Names:
Deformity - contracture
Considerations:
A contracture develops when the normally elastic (stretchy) connective tissues are replaced by inelastic (nonstretchy) fiber-like tissue. This makes it hard to stretch the area and prevents normal movement. Contractures occur primarily in the skin, underlying tissues, muscle, tendons, and joint areas. The most common causes are scarring and lack of use (due to immobilization or inactivity).
Common Causes:
- Inherited disorders (such as muscular dystrophy)
- Injury (including burns)
- Nerve damage
- Reduced use (for example, from immobilization)
References:
Vanderhoff BT, Carroll W. Neurology. In: Rakel P, Bope ET, eds. Conn’s Current Therapy 2007. 60th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 54. Calandruccio JH. Dupuytren contracture. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 72. Jobe MT. Compartment syndromes and Volkmann contracture. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 71. Warner WC. Neuromuscular disorders. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 32. Sawyer JR. Cerebral palsy. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 30.
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