Document Detail

Forearm compartment pressures: an in vitro analysis of open and endoscopic assisted fasciotomy.
MedLine Citation:
PMID:  10584956     Owner:  NLM     Status:  MEDLINE    
Pressure reduction for standard open fasciotomy and a novel endoscopic fascial release were compared in experimental conditions of elevated forearm compartment pressures by continuously monitoring intracompartmental pressures in 22 cadaver forearms. Both methods were effective in diminishing tissue pressures. Intracompartmental pressures were reduced to significantly lower levels following open versus endoscopic assisted fasciotomy (2.9 mm Hg vs. 13.2 mm Hg). In the endoscopic group a statistically significant second decrease in pressure was observed after dermatomy, reducing intracompartmental tissue pressures from 13.2 mm Hg to 3.1 mm Hg. The results of this study suggest that endoscopic assisted fasciotomy can reduce elevated tissue pressures, confirming previous findings that fascial release is of primary importance in decreasing intracompartmental tissue pressures. Open fasciotomy, however, gave significantly greater decompression than the endoscopic technique, a difference that may be even more substantial in the clinical setting due to several limiting factors of this in vitro model. Our results also suggest that immediate skin closure following fasciotomy increased tissue pressure and therefore should be avoided.
M T Havig; F J Leversedge; J G Seiler
Related Documents :
15067656 - A new bleeding model of the human acetabulum and a pilot comparison of 2 different ceme...
8408176 - The use of the modified thomas splint for a patient with cultured epidermal autografts.
3743126 - Piezosurgery: a conservative approach to encapsulated skin lesions.
24469156 - Chemical and morphological changes during olivine carbonation for co2 storage in the pr...
15133306 - Combined adrenal myelolipoma and medullary hyperplasia.
10323116 - Clinically safe dosage of felypressin for patients with essential hypertension.
Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  24     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-11     Completed Date:  2000-01-11     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1289-97     Citation Subset:  IM    
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Compartment Syndromes / physiopathology,  surgery*
Decompression, Surgical / instrumentation
Fascia / physiopathology,  surgery*
Forearm / physiopathology,  surgery*
Hydrostatic Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Avulsion of both extensor carpi radialis tendons: a case report.
Next Document:  Recurrent giant cell tumors of the tendon sheath.