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First dorsal interosseous compartment syndrome.

A K Abdul-Hamid

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1987
    PubMed
    Summary

    Chronic compartment syndrome of the hand

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    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Musculoskeletal Disorders

    Background:

    • Compartment syndrome of the hand's interosseous muscles presents atypically, often leading to delayed diagnosis, particularly in chronic cases.
    • Early recognition is crucial for effective management of hand compartment syndromes.

    Observation:

    • A case of chronic compartment syndrome affecting the first dorsal interosseous muscle in a dominant hand is presented.
    • The condition remained undiagnosed for approximately eight years.

    Findings:

    • Compartment syndrome of the first dorsal interosseous muscle can present insidiously over many years.
    • Surgical intervention, specifically fasciotomy, was the sole necessary treatment.

    Implications:

    • This case highlights the diagnostic challenges of chronic hand compartment syndromes.
    • Simple fasciotomy can be a definitive treatment for long-standing first dorsal interosseous muscle compartment syndrome.

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