Decompression of Neglected Compartment Syndrome of the Arm

Compartment syndrome of the arm is rare, and delay in diagnosis or treatment can be devastating. A case is reported of compartment syndrome of the whole arm occurring in a remote location and arrival at hospital 15 hours after injury with good results despite delayed treatment.

A 26 year old male presented with a combined crush injury and compartment syndrome of the arm, with delay in presentation due to remote injury and delay in rescue. Late (>16 hours)fasciotomy was performed with retention of the upper arm, elbow and proximal forearm with good residual function.

Despite significant delay in treatment of compartment syndrome of the arm, useful function and tissue can be preserved with adequate decompression.