Thursday, September 04, 2008

COMPARTMENTAL SYNDROME (CS).

Typical presentation of the COMPARTMENTAL SYNDROME (CS):

The patient presents with severe pain out of proportion to tenderness that increases with passive extension of the wrist & fingers , parasthesia, pulselessness, blistering and gangrene. Usually, loss of pulse is the latest sign to happen. Pain on passive extension of the wrist is almost diagnostic of CS. 

NOTE: the typical hand position: flexion of the wrist and interphalangeal joints with extension of the metacarpophalangeal ones with the forearm in supination.

EMERGENCY: the CS is a surgical emergency that must be treated immediately with fasciotomy.

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