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Chronic exertional compartment syndrome of the forearm: a case series of 12 patients treated with fasciotomy


Reference:

Brown, J. S., Wheeler, P. C., Boyd, K. T., Barnes, M. R. and Allen, M. J., 2011. Chronic exertional compartment syndrome of the forearm: a case series of 12 patients treated with fasciotomy. Journal of Hand Surgery-European Volume, 36E (5), pp. 413-419.

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    Official URL:

    http://dx.doi.org/10.1177/1753193410397900

    Abstract

    Chronic exertional compartment syndrome of the forearm is rare in the published literature. We report the outcome of a series of 12 patients treated with fasciotomy over a 14 year period. All patients underwent dynamic intra-compartmental pressure testing using a slit catheter technique before surgery. Raised intra-compartmental pressures on exercise, typical symptoms and the absence of other diagnoses were criteria for offering surgical intervention. The superficial flexor, deep flexor and extensor compartments were released. Median follow-up was 9.5 years (range 7 months to 12 years). Median patient-reported percentage improvement after surgery was 88% (range 0%-100%). Median time to return to full activity was 9 weeks. Eleven out of 12 patients were satisfied, very satisfied or extremely satisfied with the outcome of surgery. Fasciotomy can be an effective treatment for chronic exertional compartment syndrome of the forearm.

    Details

    Item Type Articles
    CreatorsBrown, J. S., Wheeler, P. C., Boyd, K. T., Barnes, M. R. and Allen, M. J.
    DOI10.1177/1753193410397900
    Uncontrolled Keywordsforearm, chronic exertional compartment syndrome, fasciotomy, outcome
    DepartmentsFaculty of Humanities & Social Sciences > Health
    RefereedYes
    StatusPublished
    ID Code24745

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