Decompression of forearm compartment syndromes.

Abstract:

:The diagnosis of forearm compartment syndrome by clinical findings alone has been difficult and inconsistent. This study was designed to assist in the diagnosis and treatment of forearm compartment syndromes. We evaluated several forearm incisions and determined their effectiveness by measuring compartment pressures using the wick catheter. The wick catheter is a simple, safe, and effective means of determining forearm compartment pressures. Preoperative and intraoperative measurements of the dorsal as well as the volar compartment pressures should be performed. Volar fasciotomy is effective in decompressing the volar compartment and may be effective in lowering the dorsal compartment pressure as well. Dorsal fasciotomy should be performed when that pressure remains elevated following volar decompression. The curvilinear volar and volar-ulnar incisions were equally effective in lowering compartment pressures experimentally, but the curved incision allowed beteer exposure to nerves and vessels and is preferred.

journal_name

Clin Orthop Relat Res

authors

Gelberman RH,Zakaib GS,Mubarak SJ,Hargens AR,Akeson WH

subject

Has Abstract

pub_date

1978-07-01 00:00:00

pages

225-9

issue

134

eissn

0009-921X

issn

1528-1132

pub_type

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