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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