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- Nikhil R Oak and Reid A Abrams.
- Department of Orthopaedic Surgery, University of California, San Diego, 200 West Arbor Drive, #8670, San Diego, CA 92103-8670, USA.
- Orthop. Clin. North Am. 2016 Jul 1; 47 (3): 609-16.
AbstractHand compartment syndrome has many etiologies; untreated, it has dire functional consequences. Intracompartmental pressure exceeding capillary filling pressure causes decreased tissue perfusion resulting in progressive ischemic death of compartment contents. Clinical findings can evolve. Serial physical examinations are recommended and, if equivocal, interstitial pressure monitoring is indicated. Definitive management is emergent fasciotomies with incisions designed to decompress the involved hand compartments, which could include the thenar, hypothenar, and interosseous compartments, and the carpal tunnel. Careful wound care, edema management, splinting, and hand therapy are critical. Therapy should start early postoperatively, possibly before wound closure. Copyright © 2016 Elsevier Inc. All rights reserved.
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