![]() Fracture of the distal radius: risk factors for complications after locked volar plate fixation. Soong M, var Leerdam R, Guitton TG, et al. Compartment syndrome of the forearm and hand. Acute compartment syndrome: who is at risk? J Bone Joint Surg. Philadelphia: Lippincott Williams Wilkins 2011. Operative techniques in orthopaedic surgery. ![]() Surgical decompression of the forearm, hand, and digits for compartment syndrome. Proceedings of the Norwegian Hand Society 2004 225. Philadelphia: Elsevier Churchill Livingstone 2011. Compartment syndromes of the forearm: diagnosis and treatment. Gelberman RH, Garfin SR, Hergerroeder PT, et al. Management of forearm compartment syndrome. Acute compartment syndrome in forearm fractures. Compartment syndrome and Volkmann’s ischemic contracture. This process is experimental and the keywords may be updated as the learning algorithm improves.īotte MJ. These keywords were added by machine and not by the authors. Continue the incision proximally and over the most prominent forearm muscles, forming a lazy-S, up to the antecubital fossa. Release the skin, volar fascia and transverse carpal ligament. Start the incision distally like in an ordinary carpal tunnel decompression procedure. If this pressure is above 30–45 mmHg and concomitant clinical findings are present, fasciotomy should be performed. The diagnosis may be verified by intra-compartmental pressure measurements. Motor paralysis and pulselessness are late findings. Sensory disturbances in the nerve distribution are intermediate findings. The most typical sign is increasing pain with passive stretch of the muscles within the compartrment: Thus move the patients wrist and fingers!!. A tense, swollen and tender compartment is present. ![]() Persistent, increasing pain, usually out of proportion to that expected from the injury, is the most important finding. The diagnosis of compartment syndrome is primarily a clinical one, based on symptoms of muscle and nerve ischemia. These interconnections are of importance in that a release of the volar compartment alone may sufficiently decompress the dorsal compartment.įortunately, compartment syndrome is a rare complication after distal radius fractures and occurs in less than 1 % of the cases. Unlike the fascial compartments of the leg, the forearm compartments are interconnected. Further, the dorsal compartment can be subdivided into the extensor compartment and the mobile wad compartment, and the volar compartment into the superficial and the deep components. The forearm is divided into two main compartments, the dorsal and the volar compartments. De Quervain's TenosynovitisCompartment syndrome is a group of symptoms associated with elevated interstitial tissue pressure within a limited space of fascial compartments. Movements involving grasping or pinching are particularly painful and difficult.Ĭonservative management of De Quervain’s tenosynovitis involves lifestyle advice (avoiding repetitive actions) and a wrist splint. Steroid injections will reduce swelling and relieve pain in most cases, and can be repeated several times if a good response is observed.įor those failing to respond to conservative management, surgical decompression of the extensor compartment can be performed under local or general anaesthetic. Patients with De Quervain’s tenosynovitis will often complain of pain near the base of the thumb with an associated swelling (secondary to thickening of the tendon sheath). It is most common in women between the ages of 30-50, especially in those with occupations or hobbies involving repetitive movements of the wrist. De Quervain’s tenosynovitisis inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling.
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