Compartment Syndrome of the Hand

Oak, Nikhil R.; Abrams, Reid A.

doi:10.1016/j.ocl.2016.03.006

Cited by 41 publications

(72 citation statements)

References 40 publications

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“…Compartment syndrome occurs when interstitial pressure within a compartment prevents the tissue within from receiving adequate perfusion [1][2][3]. Ashton observed that when a critical threshold pressure is met, vessel collapse occurs as interstitial pressure exceeds that of intraluminal pressure.…”

Section: Introductionmentioning

confidence: 99%

Compartment Syndrome of the Hand Presenting as Bullous Edema

Braunlich¹,

Braunlich²,

Brink³

et al. 2020

Cureus

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Compartment syndrome of the hand can be a challenging diagnosis to ascertain. The difficulty in diagnosis is in part due to the absence of an established diagnostic criteria. Additionally, when a patient presents obtunded or with an altered sensorium, the identification of compartment syndrome of the hand can be further complicated. Despite the potential difficulty in diagnosis, it is of upmost importance for orthopedic surgeons to recognize and treat this entity in an expeditious manner. Without prompt treatment, the risk is increased morbidity including possible amputation. Here, we present a unique and thought-provoking case along with a review of the literature. The purpose of sharing this case is to highlight potential clues to aid in prompt diagnosis and improve patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Compartment Syndrome of the Hand Presenting as Bullous Edema

Braunlich¹,

Braunlich²,

Brink³

et al. 2020

Cureus

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“…Compartment syndrome is a dreaded condition caused by increasing pressures within tightly bound myofascial compartments [1] , [2] , [3] . Compartment syndrome is most commonly seen in the forearm and legs, especially the lower leg [4] .…”

Section: Introductionmentioning

confidence: 99%

“…Compartment syndrome is most commonly seen in the forearm and legs, especially the lower leg [4] . However, rare cases of compartment syndrome involving the hand have been reported [3] , [4] , [5] . Rapid recognition and emergent fasciotomy to relieve the compartment pressure is imperative to prevent irreversible damage.…”

Section: Introductionmentioning

confidence: 99%

“…The hallmark of compartment syndrome, if untreated, is elevation of the compartment pressure leading to vascular compromise and decreased perfusion. This cycle of pressure elevation continues as capillary permeability increases secondary to tissue damage, further exacerbating compartment edema [3] . Without treatment, tissue death ensues.…”

Section: Introductionmentioning

confidence: 99%

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Compartment syndrome of the hand: A case report and review of literature

Mehta

Chowdhary

Lin

et al. 2018

Radiology Case Reports

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Elevation of pressure within tightly bound myofascial compartments has detrimental consequences if not treated promptly, leading to a loss of circulation, ischemia, myonecrosis, nerve damage, and limb loss. They are commonly seen in the distal upper and lower extremities; however, compartment syndrome of the hand is rarely encountered and prompt recognition can prevent permanent damage and tissue loss. This case study presents a complicated case of compartment syndrome of the hand and discusses the interrelationship between compartment syndrome and rhabdomyolysis. An emphasis is placed on pathophysiology of this relationship to allow a better understanding of the imaging features as well as early clinical recognition of compartment syndrome. Magnetic resonance imaging findings are specifically discussed as it remains the best imaging tool to evaluate the extent of the damage and surgical planning.

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“… For reference, crush injuries of the hand are known for historically poor outcomes, and are notorious for being difficult to access for severity (Goodman et al ). Presenting to care more than six hours after an injury has been associated with worse outcomes related to compartment syndrome—one of the most dreaded complications (Oak and Abrams ). …”

mentioning

confidence: 99%

What the Doctors Don't See: Physicians as Gatekeepers, Injured Latino Immigrants, and Workers' Compensation System

Castillo

2018

Anthropology of Work Review

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Workers' compensation systems require injured employees to overcome cumbersome requirements in order to obtain health‐care and salary‐replacement benefits. The structural vulnerabilities of Latino immigrants put them at greater risk for workplace injuries and further complicate their search for redress. As a medico‐legal system, workers' compensation relies on medical professionals to interrogate the bodies of injured low‐wage immigrant workers. This article aims to clarify how workers' trajectories are impacted by interactions with health‐care system. Utilizing activist research methods, I collaborated with Fuerza Laboral, a worker center in Rhode Island, from the fall of 2013 to the end of 2014, to survey and interview injured Latino workers, physicians, and legal professionals. I bring together worker narratives and physician reflections to identify how the compensation system's reliance on biomedicine contributes to poor outcomes for injured immigrant workers. Considering the medical “gaze,” prejudice against injured workers, racial and ethnic bias in medicine, and the pitfalls of cultural competency training, I outline the mechanics of how the medical‐legal system corrodes the patient‐physician relationship. Evaluating the risks of positioning physicians as gatekeepers, I advocate for uncoupling medical evaluations from compensation cases, the importance of healthcare system reform, and medical curricula that emphasize structural analysis. Such reforms may liberalize access to health care for injured workers as well as stymie bias in medical education.

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Compartment Syndrome of the Hand

Cited by 41 publications

References 40 publications

Compartment Syndrome of the Hand Presenting as Bullous Edema

Compartment Syndrome of the Hand Presenting as Bullous Edema

Compartment syndrome of the hand: A case report and review of literature

What the Doctors Don't See: Physicians as Gatekeepers, Injured Latino Immigrants, and Workers' Compensation System

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