WordNet
- an abnormal and usually permanent contraction of a muscle
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/09/24 21:08:35」(JST)
[Wiki en表示]
- This article refers to orthopedic contractures, i.e., permanent shortening of muscles, tendons, and/or ligaments. For short-term contraction of muscles, including the normal action and function of muscles, see Muscle contraction. For non-orthopedic types of contractures, see the "See Also" section below.
Contracture |
Classification and external resources |
ICD-10 |
M24.5, M62.4, M67.1, M72.0, T79.6 |
ICD-9 |
718.4, 727.81, 728.6, 958.6 |
MedlinePlus |
003185 |
MeSH |
D003286 |
A muscle contracture is a permanent shortening of a muscle[1] or joint.[2] It is usually in response to prolonged hypertonic spasticity in a concentrated muscle area, such as is seen in the tightest muscles of people with conditions like spastic cerebral palsy.
Contractures are essentially muscles or tendons that have remained too tight for too long, thus becoming shorter. Once they occur they cannot be stretched or exercised away; they must be released with orthopedic surgery. Most of the physical therapy, occupational therapy, and other exercise regimens targeted towards people with spasticity focuses on trying to prevent contractures from happening in the first place.
Contractures can also be due to ischemia, as in Volkmann's contracture.
Excessive matrix metalloproteinase and myofibroblast accumulation in the wound margins can result in contracture.
See also
- Burn scar contracture
- Capsular contracture
- Dupuytren's contracture
- Marden-Walker syndrome
- Muscle contracture
References
- ^ "contracture" at Dorland's Medical Dictionary
- ^ Clavet H, Hébert PC, Fergusson D, Doucette S, Trudel G (March 2008). "Joint contracture following prolonged stay in the intensive care unit". CMAJ 178 (6): 691–7. doi:10.1503/cmaj.071056. PMC 2263098. PMID 18332384.
Musculoskeletal disorders: Arthropathies (M00–M19, 711–719)
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Arthritis
(monoarthritis /
polyarthritis) |
Inflammation
(Neutrophilia)
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Infectious
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- Septic arthritis
- Tuberculosis arthritis
- Reactive arthritis (indirectly)
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Noninfectious
|
- Seronegative spondyloarthropathy: Reactive arthritis
- Psoriatic arthritis
- Rheumatoid arthritis: Juvenile idiopathic arthritis
- Adult-onset Still's disease
- Felty's syndrome
- Crystal arthropathy: Gout
- Chondrocalcinosis
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Noninflammatory
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- Osteoarthritis: Heberden's node
- Bouchard's nodes
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Other |
- hemorrhage
- pain
- Osteophyte
- villonodular synovitis
- Pigmented villonodular synovitis
- Joint stiffness
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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Musculoskeletal disorders: Acquired musculoskeletal deformities (M20–M25, M95, 734–738)
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Upper limb |
- shoulder (Winged scapula, Adhesive capsulitis, Rotator cuff tear, Subacromial bursitis)
- elbow (Cubitus valgus, Cubitus varus)
- hand deformity (Wrist drop, Boutonniere deformity, Swan neck deformity)
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Lower limb |
- hip (Protrusio acetabuli, Coxa valga, Coxa vara)
- patella (Luxating patella, Chondromalacia patellae, Patella baja, Patella alta)
- foot deformity (Bunion/hallux valgus, Hallux varus, Hallux rigidus, Hammer toe, Foot drop, Flat feet, Club foot)
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Head |
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General terms |
- Valgus deformity/Varus deformity
- Joint stiffness
- Ligamentous laxity
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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Myopathy (M60–M63, 728.0–3,8)
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Pain |
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Inflammation |
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Lytic |
- Muscle weakness
- Rhabdomyolysis
- Muscle atrophy/Amyotrophy
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Other |
- Myositis ossificans
- Fibrodysplasia ossificans progressiva
- Compartment syndrome
- Diastasis of muscle
- Muscle spasm
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anat (h/n, u, t/d, a/p, l)/phys/devp/hist
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noco (m, s, c)/cong (d)/tumr, sysi/epon, injr
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Soft tissue disorders / Rheumatism / Connective tissue arthropathy (M65–M79, 725–728)
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Capsular joint |
Synoviopathy |
- Synovitis/Tenosynovitis
- Calcific tendinitis
- Stenosing tenosynovitis
- Trigger finger
- DeQuervain's syndrome
- Transient synovitis
- Ganglion cyst
- osteochondromatosis
- Synovial osteochondromatosis
- Plica syndrome
- villonodular synovitis
- Giant cell tumor of the tendon sheath
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Bursopathy |
- Bursitis
- Olecranon
- Prepatellar
- Trochanteric
- Subacromial
- Achilles
- Retrocalcaneal
- Ischial
- Iliopsoas
- Synovial cyst
- Calcific bursitis
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Noncapsular joint |
Ligamentopathy |
- Ligamentous laxity
- Hypermobility
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Enthesopathy/Enthesitis
(and general tendinopathy) |
upper limb |
- Adhesive capsulitis of shoulder
- Impingement syndrome Rotator cuff tear
- Golfer's elbow
- Tennis elbow
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lower limb |
- Iliotibial band syndrome
- Patellar tendinitis
- Achilles tendinitis
- Calcaneal spur
- Metatarsalgia
- Bone spur
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other/general: |
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Nonjoint |
Fasciopathy |
- Fasciitis: Plantar
- Nodular
- Necrotizing
- Eosinophilic
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Fibromatosis/contracture |
- Dupuytren's contracture
- Plantar fibromatosis
- Aggressive fibromatosis
- Knuckle pads
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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anat (h/n, u, t/d, a/p, l)/phys/devp/hist
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noco (m, s, c)/cong (d)/tumr, sysi/epon, injr
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Certain early complications of trauma (T79, 958)
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Certain early complications
of trauma |
- Embolism
- air
- fat
- Crush syndrome / Rhabdomyolysis
- Contracture / Volkmann's contracture / Compartment syndrome
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Trauma
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Principles |
- Polytrauma
- Major trauma
- Traumatology
- Triage
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Assessment |
Clinical prediction rules
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- Revised Trauma Score
- Injury Severity Score
- Abbreviated Injury Scale
- NACA score
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Investigations
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- Diagnostic peritoneal lavage
- Focused assessment with sonography for trauma
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Management |
Principles
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- Advanced trauma life support
- Trauma surgery
- Trauma center
- Trauma team
- Damage control surgery
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Procedures
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- Resuscitative thoracotomy
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Pathophysiology |
Injury
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- Bone fracture
- Joint dislocation
- Degloving
- Flail chest
- Internal bleeding
- Soft tissue injury
- Penetrating head injury
- Traumatic brain injury
- Intracranial hemorrhage
- Thoracic aorta injury
- Cardiac tamponade
- Pneumothorax
- Hemothorax
- Diaphragmatic rupture
- Pulmonary contusion
- Ruptured spleen
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Mechanism
|
- Blast injury
- Blunt trauma
- Penetrating trauma
- Crush injury
- Stab wound
- Ballistic trauma
- Electrocution
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Region
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- Abdominal trauma
- Chest trauma
- Facial trauma
- Head injury
- Spinal cord injury
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Demographic
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- Geriatric trauma
- Pediatric trauma
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Sequelae |
- Posttraumatic stress disorder
- Wound healing
- Acute lung injury
- Crush syndrome
- Compartment syndrome
- Contracture
- Fat embolism
- Chronic traumatic encephalopathy
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UpToDate Contents
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English Journal
- The effect of post-mastectomy radiation therapy on breast implants: Unveiling biomaterial alterations with potential implications on capsular contracture.
- Ribuffo D1, Lo Torto F1, Giannitelli SM2, Urbini M3, Tortora L3, Mozetic P2, Trombetta M2, Basoli F4, Licoccia S4, Tombolini V5, Cassese R6, Scuderi N1, Rainer A7.
- Materials science & engineering. C, Materials for biological applications.Mater Sci Eng C Mater Biol Appl.2015 Dec 1;57:338-43. doi: 10.1016/j.msec.2015.07.015. Epub 2015 Jul 18.
- Post-mastectomy breast reconstruction with expanders and implants is recognized as an integral part of breast cancer treatment. Its main complication is represented by capsular contracture, which leads to poor expansion, breast deformation, and pain, often requiring additional surgery. In such a sce
- PMID 26354273
- The In Vivo Pericapsular Tissue Response to Modern Polyurethane Breast Implants.
- Frame J1, Kamel D, Olivan M, Cintra H.
- Aesthetic plastic surgery.Aesthetic Plast Surg.2015 Oct;39(5):713-23. doi: 10.1007/s00266-015-0550-4. Epub 2015 Aug 25.
- Polyurethane breast implants were first introduced by Ashley (Plast Reconstr Surg 45:421-424, 1970), with the intention of trying to reduce the high incidence of capsular contracture associated with smooth shelled, high gel bleed, silicone breast implants. The sterilization of the polyurethane foam
- PMID 26304599
- Fetal akinesia deformation sequence due to a congenital disorder of glycosylation.
- Ganetzky R1,2, Izumi K1,2, Edmondson A3, Muraresku CC2, Zackai E1,3, Deardorff M1,3, Ganesh J4.
- American journal of medical genetics. Part A.Am J Med Genet A.2015 Oct;167(10):2411-7. doi: 10.1002/ajmg.a.37184. Epub 2015 May 31.
- Congenital disorders of Glycosylation (CDG) are increasingly emerging as a major underlying etiology for patients with complex neurogenetic malformations and dysmorphic features. We describe a newborn female with arthrogryposis multiplex due to fetal akinesia secondary to CDG-DPAGT1. Pregnancy was c
- PMID 26033833
Japanese Journal
- 関節拘縮発生抑制を目的とした関節可動域運動の効果 : ラットの足関節中間位固定を用いた実験的研究
- 佐々木 典恭,上松 明日香,石田 修平 [他]
- 人間と科学 : 県立広島大学保健福祉学部誌 12(1), 53-57, 2012-03
- … As a result, we concluded that range of motion exercise once a day could prevent joint contractures of immobilized ankles in rats. …
- NAID 40019238034
- 中枢神経障害にともなう関節拘縮を考える : 関節固定にともなう関節拘縮との比較を通して
- 齋藤 勇貴,武本 秀徳,森山 英樹 [他]
- 人間と科学 : 県立広島大学保健福祉学部誌 12(1), 9-15, 2012-03
- … Analyzing experimental animal tests, there is growing evidence demonstrating that respective contractures following joint immobilization and central nervous system(CNS)injury should be distinguished. …
- NAID 40019237950
Related Links
- A muscle contracture is a permanent shortening of a muscle or joint. It is usually in response to prolonged hypertonic spasticity in a concentrated muscle area, such as is seen in the tightest muscles of people with conditions like spastic ...
- A contracture develops when the normally stretchy (elastic) tissues are replaced by nonstretchy (inelastic) fiber-like tissue. this makes it hard to stretch the area and prevents normal movement. Contractures mostly occur in the skin, the tissues ...
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