Tissue pressures in pyogenic flexor tenosynovitis of the finger. Compartment syndrome and its management
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S B Schnall1, T Vu-Rose, P D Holtom
1University of Southern California, Los Angeles, USA.
The Journal of Bone and Joint Surgery. British Volume
|September 1, 1996
Abstract:
We investigated 14 patients with pyogenic flexor tenosynovitis for increased tissue pressures in involved digits. All showed raised pressures, in eight to 30 mmHg or more. These levels are consistent with a compartment syndrome. We describe the results of a modified operative technique which includes irrigation of the sheath and the leaving open of a lateral incision. This also allows early active mobilisation of the finger and has given satisfactory early results.