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Fletcher MD. Decompression of Neglected Compartment Syndrome of the Arm. J Orthop Case Rep. 2015;5(2):75-7doi: 10.13107/jocr.2250-0685.281.
Fletcher, M. D. (2015). Decompression of Neglected Compartment Syndrome of the Arm. Journal of orthopaedic case reports, 5(2), 75-7. https://doi.org/10.13107/jocr.2250-0685.281
Fletcher, M D. "Decompression of Neglected Compartment Syndrome of the Arm." Journal of orthopaedic case reports vol. 5,2 (2015): 75-7. doi: https://doi.org/10.13107/jocr.2250-0685.281
Fletcher MD. Decompression of Neglected Compartment Syndrome of the Arm. J Orthop Case Rep. 2015 Apr-Jun;5(2):75-7. doi: 10.13107/jocr.2250-0685.281. PMID: 27299052; PMCID: PMC4722599.
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J Orthop Case Rep. 2015 Apr-Jun;5(2):75-7. doi: 10.13107/jocr.2250-0685.281.

Decompression of Neglected Compartment Syndrome of the Arm.

Journal of orthopaedic case reports

M D Fletcher

Affiliations

  1. Department of Orthopaedic, Dawson Creek Hospital, Dawson Creek BC Canada.

PMID: 27299052 PMCID: PMC4722599 DOI: 10.13107/jocr.2250-0685.281

Abstract

INTRODUCTION: Compartment syndrome of the arm is rare, and delay in diagnosis or treatment can be devastating. A case is reported of compartment syndrome of the whole arm occurring in a remote location and arrival at hospital 15 hours after injury with good results despite delayed treatment.

CASE REPORT: A 26 year old male presented with a combined crush injury and compartment syndrome of the arm, with delay in presentation due to remote injury and delay in rescue. Late (>16 hours)fasciotomy was performed with retention of the upper arm, elbow and proximal forearm with good residual function.

CONCLUSION: Despite significant delay in treatment of compartment syndrome of the arm, useful function and tissue can be preserved with adequate decompression.

Keywords: Compartmentsyndrome; Crush Injury; Fasciotomy

Conflict of interest statement

Conflict of Interest: Nil

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