![]() ![]() Neurological deficit was the most common complication (21%).Ĭopyright © 2011. In cases reporting wound management, postfasciotomy skin grafting was needed in 61% of the cases, whereas secondary closure was performed in 39% of the cases. Compartment Syndrome of the Forearm: A Systematic Review Bharati S Kalyani In this systematic review, we examined the available evidence regarding compartment syndrome of the forearm. Fasciotomy was the preferred method of treatment (73%). The intracompartmental pressure was measured using various techniques including a wick catheter, slit catheter, the Whitesides technique, and the Stryker compartment pressure measuring device. It is caused by severe injury, or athletic fatigue and exertion. Treatment of compartment syndrome requires surgical release of the closed osteo-fascial compartment(s) by extensive division of the skin and fascial. The diagnostic criterion used was clinical assessment alone in 48%, and in 52%, a combination of measurement of intracompartmental pressure and clinical assessment was used. Fast facts on compartment syndrome: There are two kinds of compartment syndrome: acute and chronic. The most common cause of compartment syndrome of the forearm in children was a supracondylar fracture, while in adults the most common cause was a fracture of the distal radius. Compartment syndrome is when the pressure builds up in a non-compliant osseofascial compartment and causes ischemia leading to muscle and nerve necrosis. Forearm compartment syndrome occurs most commonly after extremity trauma that results in significant intracellular edema within muscle that is confined by non. In this study, papers were analyzed for causes, diagnosis, treatment, methods of wound closure, functional outcome, and complications. A fasciotomy is an emergency procedure used to treat acute compartment syndrome. All were retrospective studies (level IV evidence). ![]() Applying our inclusion criteria, we found 12 articles for a total of 84 cases using the MEDLINE (Ovid) database. In this systematic review, we examined the available evidence regarding compartment syndrome of the forearm. ![]()
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