| Compartment syndrome of the forearm: a systematic review. | |
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MedLine Citation:
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PMID: 21371630 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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In this systematic review, we examined the available evidence regarding compartment syndrome of the forearm. Applying our inclusion criteria, we found 12 articles for a total of 84 cases using the MEDLINE (Ovid) database. All were retrospective studies (level IV evidence). In this study, papers were analyzed for causes, diagnosis, treatment, methods of wound closure, functional outcome, and complications. 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. 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. The intracompartmental pressure was measured using various techniques including a wick catheter, slit catheter, the Whitesides technique, and the Stryker compartment pressure measuring device. Fasciotomy was the preferred method of treatment (73%). 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. Neurological deficit was the most common complication (21%). |
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Authors:
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Bharati S Kalyani; Brent E Fisher; Craig S Roberts; Peter V Giannoudis |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hand surgery Volume: 36 ISSN: 1531-6564 ISO Abbreviation: J Hand Surg Am Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: 535-43 Citation Subset: IM |
Copyright Information:
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Copyright © 2011. Published by Elsevier Inc. |
Affiliation:
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Department of Orthopaedic Surgery, University of Louisville, Louisville, KY; and the Academic Department of Trauma and Orthopaedics, University of Leeds, Leeds, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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