ePlasty: Vol. 14
Compartment Syndrome of the Hand: Beware of Innocuous Radius Fractures
Francesco Maria Egro, MBChB, BSc (Hons), MRCS, MSc, Matthew Robert Frederick Jaring, MBBS, BSc (Hons), and Asif Zafar Khan, MBBS, BSc, MRCS

Department of Trauma and Orthopaedics, Frenchay Hospital, Bristol, United Kingdom

Correspondence: francescoegro@gmail.com
Keywords: compartment syndrome, complication, hand, radius fracture, injury

Objective: Describe an unusual presentation of compartment syndrome of the hand. Methods: An unusual and severe case of compartment syndrome of the hand occurred in a 68-year-old woman following an innocuous distal radius fracture and ulnar styloid avulsion fracture. Results: The patient required surgical decompression and amputation of the index, middle, ring, and little fingers. Conclusions: This article highlights the importance of clinical suspicion toward postinjury compartment syndrome even if a fracture is not adjacent to the compartment itself and no clear vascular disruption is present.

Compartment syndrome is a well-described limb-threatening complication of the leg and forearm, but not as common in the hand. Limb vascularity is affected as the compartment pressure increases beyond the level requ .......