Abstract

Introduction: Muscle contractures may be rarely seen in adults as continuation of congenital deformity, malformations or post infective/ ischemic fibrosis of muscles. Putting a normal muscle in an abnormal non- functioning state for some length of time causes shortening of muscle leading to contracture and sub sequent joint deformity.
Case report: A 40 years adult presenting with contractures of left lower limb hip, knee, ankle and toes following inadequately treated soft tissue infection in calf and heel two years back has been treated by skeletal traction, followed with release of tight fascia at hip, thigh and tenotomy of medial hamstring tendons resulting in partial improvement of contractures. He is planned for hamstring release, posterior capsulotomy of knee, tendoachilles lengthening, bracing and mobilization after soft tissue healing in functional position, in a gradual manner. The case is being reported due to rare occurrence of acquired multiple contractures in adulthood and to highlight the importance of position of joints in any painful condition.
Message: Deep seated soft tissue infection can present late as contractures if proper positioning and antigravity mobilization of muscles is not done regularly after suitable treatment of infection. Shortened length of muscles due to any reason may lead to contractures and joint deformities. 

Keywords

joint deformities, painful condition, lengthening, bracing and mobilization, hamstring tendons, multiple contractures, left lower limb, hip, knee, ankle, innervated muscle, coxa vara, genu valgus, tertiary medical care, anesthesia