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Hand Trauma & Compartment Syndrome

**USE LEAST INVASIVE TECHNIQUE CONSISTENT WITH NECESSARY STABILITY **

Consider ORIF if: 

  1. Closed reduction fails
  2. Percutaneous Fix cannot be achieved
  3.  # is unstable d.t. segmental bone loss or comminution.

Results of injuries are:

1. Injury dependent- timing, clean/dirty, skin loss, tendon integrity, skeletal injury, NV zone, crush.

2. Patient dependent- age, job, hobbies, smoker, drugs (coffee), hand dominance, motivation, medical condition.

3. Treatment dependent.


Anatomy:

The hand contains 10 separate osteofascial compartments:

  • 4 dorsal interossei
  • 3 palmar interossei
  • adductor pollicis
  • thenar muscle compartment
  • hypothenar muscle compartment


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