Fasciotomy: Upper Extremity

Ipaktchi, Kyros; Wingfield, Jessica; Colakoğlu, Salih

doi:10.1007/978-3-030-22331-1_7

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…Carpal injuries should be closely monitored for symptoms of compartment syndrome. Many studies in the literature have reported the use of early fasciotomy for upper extremity compartment syndrome to prevent irreversible contractures [9]. In our case, we performed volar and dorsal carpal fasciotomy as recommended in the literature[10] for compartment syndrome.…”

Section: Discussionmentioning

confidence: 99%

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Ergün

Öncül

2023

Troia Med J

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Introduction: Hamate body fractures are rare hand injuries and are accompanied by serious complications. Our study is one of the rare case reports reported in the literature. Case report: Our case is an industrial injury case of a 51-year-old male patient who was working as a printing machine operator and got his hand stuck between the wheels of the machine. It has been observed that hamate bone fracture accompanying the intermetacarpal decomposition after the accident has developed. Reduction and fixation of hamate bone fractures and intermetacarpal dehiscence were performed, and fasciotomy was performed due to compartment syndrome. Adequate recovery was achieved after the treatment of the patient. Conclusion: As far as we know, no carpal bone injury similar to our case has been reported in the literature before. We recommend rigid screw fixation for fracture osteosynthesis, K-wire fixation for metacarpal dissociation, and early fasciotomy to prevent the development of compartment syndrome in intermetacarpal separation injuries accompanied by hamate bone fractures.

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Section: Discussionmentioning

confidence: 99%

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Ergün

Öncül

2023

Troia Med J

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“…Se considera contraindicada la realización de la fasciotomía en caso de diagnóstico tardío, es decir, cuando el procedimiento se realiza de 12 a 72 horas posterior a la instauración de un SCA. Se considera mayor riesgo que beneficio, debido a que se asocia en gran medida a alto riesgo de infección, amputación, falla renal por reperfusión del tejido muscular necrótico, propiciando alta tasa de mortalidad (11,13,15). El cierre de la herida es una consideración importante en el tratamiento de los pacientes con SCA.…”

Section: Tratamientounclassified

“…La fascia abierta no amerita cierre, por otra parte, el objetivo de cierre primario es de piel lo más rápido posible una vez que el SCA ha sido tratado. La importancia del cierre de la piel incluye mejoría de la estética, disminución de la reintervenciones quirúrgicas, disminución de la tasa de infecciones y acortar la estancia hospitalaria, y acelera la pronta recuperación del paciente (15). Entre las técnicas para cierre de herida, para un cierre inmediato se podrían utilizar suturas en colchonero, que se colocan de manera secuencial para lograr un cierre primario parcial y posteriormente uno completo de la herida.…”

Section: Tratamientounclassified

Síndrome compartimental agudo: ¿una verdadera emergencia de la extremidad?

2023

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El síndrome compartimental agudo (SCA) de la extremidad es una entidad que se basa en el aumento de la presión intracompartimental con disminución de la presión de perfusión, comprometiendo así la extremidad, lo cual provoca isquemia, que podría concluir en necrosis tisular e incluso pérdida de la extremidad. Ante la sospecha clínica debe evaluarse al paciente en caso de ser un paciente que colabore para recopilar información por medio de una anamnesis, y examen clínico en caso de ese ser imposible. Se debe realizar la sospecha ante los signos clínicos de dolor desproporcionado en la extremidad, compartimentos tensos, ausencia de pulso o palidez, los cuales se ven cuando el tiempo de compromiso e instauración del síndrome se prolonga. El pilar de tratamiento se basa en la descompresión de la presión intracompartimental por medio de una fasciotomía descompresiva. Entre las complicaciones del SCA se pueden presentar lesión nerviosa, lesión de tejidos blandos, y rabdomiolisis, que podría conllevar a liberación de marcadores que afecten a tal punto de generar un compromiso multisistémico. Un diagnóstico tardío se podría traducir en pérdida de la extremidad, por lo que se considera una emergencia quirúrgica.

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“…Incisions are made parallel to the radial and ulnar carpal eminence. The dorsal side of the metacarpal is decompressed with 2 longitudinal incisions between the first and second, and third and fourth interosseal spaces [44]. In addition, release of entire neurovascular bundles may be required in cases of burns or electrical trauma.…”

Section: Acs Treatmentmentioning

confidence: 99%

Compartment syndrome – a complex and insidious medical problem

Miciak¹,

Jurkiewicz²

2023

J Pre Clin Clin Res.

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Introduction and Objective. Compartment syndrome (CS) is a severe and rapidly progressing condition associated with muscle compartments restricted by fascia. It most commonly affects the lower extremities and develops as a result of bone fractures or soft tissue injuries. The essence is an increased pressure within the compartments which have limited ability to compensate their volumes. The aim of this review paper is to present the complexity of the problem, its pathophysiology and current methods of diagnosis and treatment. Review Methods. Printed literature,PubMed and Google Scholar databases were searched using key words related to compartment syndrome, fasciotomy, fracture and trauma. Articles and book sections in English were searched and two positions from printed literature in Polish were used. Articles were selected after analyzing abstracts, and those which were incomplete or outdated were excluded. The types of articles included prospective studies, retrospective studies and reviews. The summary was supported by case studies to add imaging and clinical value to the study. Brief description of the state of knowledge. From the initial search, 40 articles were retrieved for final analysis. The available data provide the latest information specifically on the diagnosis of compartment syndrome. Intra-compartmental pressure measuring devices currently in use were utilised. Treatment is based on surgical decompression called fasciotomy. The list of symptoms is intended to increase the consciousness in proceeding with this condition. New non-invasive diagnostic and treatment options are currently used in clinical research and provide a hopeful future in the described disease. Summary. Compartment syndrome is a relatively uncommon trauma-related condition, and if untreated can lead to severe complications or even limb amputation. Management is urgent and strictly surgical.

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Fasciotomy: Upper Extremity

Cited by 7 publications

References 22 publications

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Síndrome compartimental agudo: ¿una verdadera emergencia de la extremidad?

Compartment syndrome – a complex and insidious medical problem

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