Document Detail

Pronator quadratus space and compartment syndrome after low-energy fracture of the distal radius: a case report.
MedLine Citation:
PMID:  18549742     Owner:  NLM     Status:  MEDLINE    
Acute compartment syndrome following fracture of the distal radius occurs in less than 1% of cases, but if the diagnosis is delayed, the potential consequences may be devastating. The majority of the cases involve high-energy injuries in young patients, and increasing pain "out of proportion to the injury sustained" is a constant finding and constitutes the hallmark of the diagnosis. This case report describes a rare presentation of an acute compartment syndrome in the forearm and wrist after fracture of the distal radius that developed in the absence of acute pain symptoms, in an older individual, and in the context of a low-energy injury. This report of an unusual case highlights the existence of atypical presentations, discusses the potential role of the pronator quadratus space, and further emphasizes the need for vigilance even in "low-risk" cases of distal radius fracture.
George D Chloros; Anastasios Papadonikolakis; Stuart Ginn; Ethan R Wiesler
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of surgical orthopaedic advances     Volume:  17     ISSN:  1548-825X     ISO Abbreviation:  J Surg Orthop Adv     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-13     Completed Date:  2008-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197881     Medline TA:  J Surg Orthop Adv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-6     Citation Subset:  IM    
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
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MeSH Terms
Bone Plates
Bone Wires
Casts, Surgical
Compartment Syndromes / etiology*,  radiography,  surgery
Diagnosis, Differential
Follow-Up Studies
Fracture Fixation, Internal / methods
Radius Fractures / complications*,  radiography,  surgery
Trauma Severity Indices

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