Compartment Syndrome Of The Forearm - Everything You Need To Know - Dr. Nabil Ebraheim
120.1 هزار بار بازدید -
12 سال پیش
-
Educational video describing the condition
Educational video describing the condition of compartment syndrome of the forearm.
my new book about compartment syndrome
https://www.amazon.com/dp/B0C51X2CWB?...
Compartment syndrome of the forearm is usually caused by fractures, particulary supra-condyalr humerus fractures and fractures of both the ulna and radius. Most cases of forearm compartment syndrome can be treated with release of the volar compartment.
Four compartments of the forearm
1-Dorsal compartment
2-Henry’s mobile wad compartment
3-Superficial volar compartment
4-Deep volar compartment
Dorsal compartment muscles:
•Extensor digitorum
•Extensor digit minimi
•Extensor carpi ulnaris
•Abductor pollicis longus
•Extensor pollicis brevis
•Extensor pollicis longus
•Extensor indicis.
Nerve within the comparmtnet: posterior interosseous nerve.
Henry’s mobile wad compartment muscles:
•Brachioradialis
•Extensor carpi radialis longus
•Extensor carpi radialis brevis
Nerve within the compartment : superficial radial nerve.
Superficial volar compartment muscles:
•Flexor carpi ulnaris
•Palmaris longus
•Flexor digitorum superficialis
•Flexor carpi radialis
•Pronator teres
Nerve within the compartment: median & ulnar nerve
Deep volar compartment muscles:
•Flexor digitorum profundus
•Palmaris longus
•Flexor pollicis longus
•Pronator quadratus (Distal third of the forearm).
Nerve within the compartment : anterior interosseous nerve.
Clinical presenation of volar compartment syndrome
•Pain with passive extension of fingers/wrist
•Tenderness over the volar aspect of the forearm.
•Flexion posture of the fingers
•Weakness of finger/wrist flexion
•Decreased sensations in the distribution of median/ulnar nerve in the hand.
Clinical presentations of mobile wad compartment syndrome
•Pain with passive wrist flexion/elbow extension
•Weakness of wrist extension
•Decreased sensation in the distribution of the superificial radial nerve
Clinical presneation of dorsal compartment syndrome
•Pain with passive flexion of the fingers MCP joint
•Extension posture of the fingers.
•Weakness of finger MCP joint extension
•Minimal/ no sensory deficit
Pressure measurement
30+ mmHg or within 30 mmHg of the diastolic pressure.
Fasciotomy of the forearm
Volar compartments, superficial and deep, must be realsed through an ample incision when involved.
1-Skin incision
2-Release of superficial volar compartment
3-Release of deep volar compartment
The dorsal compartment can be released through a generous incision over the dorsum of the forearm.
Become a friend on facebook:
Facebook: drebraheim
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
my new book about compartment syndrome
https://www.amazon.com/dp/B0C51X2CWB?...
Compartment syndrome of the forearm is usually caused by fractures, particulary supra-condyalr humerus fractures and fractures of both the ulna and radius. Most cases of forearm compartment syndrome can be treated with release of the volar compartment.
Four compartments of the forearm
1-Dorsal compartment
2-Henry’s mobile wad compartment
3-Superficial volar compartment
4-Deep volar compartment
Dorsal compartment muscles:
•Extensor digitorum
•Extensor digit minimi
•Extensor carpi ulnaris
•Abductor pollicis longus
•Extensor pollicis brevis
•Extensor pollicis longus
•Extensor indicis.
Nerve within the comparmtnet: posterior interosseous nerve.
Henry’s mobile wad compartment muscles:
•Brachioradialis
•Extensor carpi radialis longus
•Extensor carpi radialis brevis
Nerve within the compartment : superficial radial nerve.
Superficial volar compartment muscles:
•Flexor carpi ulnaris
•Palmaris longus
•Flexor digitorum superficialis
•Flexor carpi radialis
•Pronator teres
Nerve within the compartment: median & ulnar nerve
Deep volar compartment muscles:
•Flexor digitorum profundus
•Palmaris longus
•Flexor pollicis longus
•Pronator quadratus (Distal third of the forearm).
Nerve within the compartment : anterior interosseous nerve.
Clinical presenation of volar compartment syndrome
•Pain with passive extension of fingers/wrist
•Tenderness over the volar aspect of the forearm.
•Flexion posture of the fingers
•Weakness of finger/wrist flexion
•Decreased sensations in the distribution of median/ulnar nerve in the hand.
Clinical presentations of mobile wad compartment syndrome
•Pain with passive wrist flexion/elbow extension
•Weakness of wrist extension
•Decreased sensation in the distribution of the superificial radial nerve
Clinical presneation of dorsal compartment syndrome
•Pain with passive flexion of the fingers MCP joint
•Extension posture of the fingers.
•Weakness of finger MCP joint extension
•Minimal/ no sensory deficit
Pressure measurement
30+ mmHg or within 30 mmHg of the diastolic pressure.
Fasciotomy of the forearm
Volar compartments, superficial and deep, must be realsed through an ample incision when involved.
1-Skin incision
2-Release of superficial volar compartment
3-Release of deep volar compartment
The dorsal compartment can be released through a generous incision over the dorsum of the forearm.
Become a friend on facebook:
Facebook: drebraheim
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
12 سال پیش
در تاریخ 1391/01/31 منتشر شده
است.
120,154
بـار بازدید شده