Bilateral post-traumatic forearm and hand compartment syndrome: a case report and review of literature

Authors

  • Saubhik Das JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Vivek Trikha JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Sahil Gaba JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Arkesh M. JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Prabhat Agrawal JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Gajanand Yadav JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20164581

Keywords:

Bilateral, Compartment syndrome, Fasciotomy, Forearm, Hand, Split-thickness skin graft

Abstract

Acute compartment syndrome is a condition in which interstitial tissue pressure within a closed osteo-fascial compartment is elevated to a nonphysiologic level causing decrease in tissue perfusion, which if left elevated for sufficient time, can lead to tissue necrosis and devastating loss of function. It poses a diagnostic and therapeutic challenge for treating surgeons. We present a case of acute post-traumatic bilateral forearm and hand compartment syndrome in a 12 year old boy associated with fracture of distal ulna and metacarpals. Patient regained excellent function with emergent fasciotomy of volar forearm and hand followed by wound management with vacuum-assisted wound closure system (VAC), delayed primary closure and split-thickness skin graft (SSG). Early diagnosis and emergent fasciotomy are crucial to avoid debilitating complications.

References

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Published

2016-12-19

How to Cite

Das, S., Trikha, V., Gaba, S., M., A., Agrawal, P., & Yadav, G. (2016). Bilateral post-traumatic forearm and hand compartment syndrome: a case report and review of literature. International Journal of Research in Medical Sciences, 5(1), 363–366. https://doi.org/10.18203/2320-6012.ijrms20164581

Issue

Section

Case Reports