Compartment syndrome of the hand: A case report and review of literature

Radiology Case Reports
Varun MehtaShirley Hanna

Abstract

Elevation of pressure within tightly bound myofascial compartments has detrimental consequences if not treated promptly, leading to a loss of circulation, ischemia, myonecrosis, nerve damage, and limb loss. They are commonly seen in the distal upper and lower extremities; however, compartment syndrome of the hand is rarely encountered and prompt recognition can prevent permanent damage and tissue loss. This case study presents a complicated case of compartment syndrome of the hand and discusses the interrelationship between compartment syndrome and rhabdomyolysis. An emphasis is placed on pathophysiology of this relationship to allow a better understanding of the imaging features as well as early clinical recognition of compartment syndrome. Magnetic resonance imaging findings are specifically discussed as it remains the best imaging tool to evaluate the extent of the damage and surgical planning.

Citations

Aug 31, 2019·International Orthopaedics·Tristan E McMillanAlan J Johnstone
Jan 17, 2020·Muscle & Nerve·Peter Kaas Broadhurst, Lawrence R Robinson
Apr 14, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Jacqueline Miranda-KleinMichael Davis-Cheshire
Feb 13, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Diogo Goulart CorrêaClarissa Canella
Mar 9, 2021·The American Journal of Emergency Medicine·Nicky JanssenMaarten M Hoogbergen

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