Skip to main content

Compartment Syndrome of the Hand

  • Living reference work entry
  • First Online:
Pediatric Orthopedic Trauma Case Atlas
  • 139 Accesses

Abstract

Compartment syndrome is one of the few true orthopedic emergencies. It requires a high level of clinical suspicion, particularly in the pediatric population. Compartment syndrome is defined as an increase in intracompartmental pressure leading to a decrease in perfusion pressure causing tissue hypoxemia. Inadequate treatment or the missed diagnosis of compartment syndrome can lead to significant morbidity, such as nerve dysfunction, muscle contractures, loss of limb, rhabdomyolysis, chronic pain, and even mortality. Emergent fasciotomies are indicated, and often multiple surgeries are required. Postoperative rehabilitation is of paramount importance to help regain function.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References and Suggested Readings

  • Bae DS, Kadiyala K, Waters PM (2001) Acute compartment syndrome in children: contemporary diagnosis, treatment and outcome. JPO 21:680–688

    CAS  Google Scholar 

  • Kanj WW, Gunderson MA, Carrigan RB, Sankar WN (2013) Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. J Child Orthop 7:225–233

    Article  PubMed  PubMed Central  Google Scholar 

  • McQueen MM, Gaston P, Court-Brown CM (2000) Acute compartment syndrome. Who is at risk? J Bone Joint Surg Br 82:200–203

    Article  CAS  PubMed  Google Scholar 

  • Ouellette EA, Kelly R (1996) Compartment syndromes of the hand. J Bone Joint Surg Am 78:1515–1522

    Article  CAS  PubMed  Google Scholar 

  • Tsuge K (1975) Treatment of established Volkmann’s contracture. J Bone Joint Surg Am 57(7):925–929

    Article  CAS  PubMed  Google Scholar 

  • Whitesides TE, Haney TC, Morimoto K, Harada H (1975) Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop Relat Res 113:43–51

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julie Balch Samora .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Samora, J.B. (2018). Compartment Syndrome of the Hand. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_59-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28226-8_59-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics