Compartment Syndrome of the Hand
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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.
KeywordsCompartment Syndrome Intracompartmental Pressure Fasciotomy Intrinsic Minus Position Multiple Metacarpal Fractures
References and Suggested Readings
- Bae DS, Kadiyala K, Waters PM (2001) Acute compartment syndrome in children: contemporary diagnosis, treatment and outcome. JPO 21:680–688Google Scholar