COMPARTMENT SYNDROME

Question 1

Mechanism

Answer 1

Crush Injury
Extravasation of IV fluid or contrast media
Arterial Puncture

Question 2

List the 10 Hand Compartments

Answer 2

Hypothenar
Thenar
Adductor Pollicis
Dorsal Interosseous (4)
Volar (palmar) Interosseous (3)

Question 3

Classic Clinical Features

Answer 3

Pain and paresthesias ->
Paralysis and Pulselessness

Question 4

Clinical Confounders of Hand Compartment Syndrome

Answer 4

May not be a/w paresthesias
Extremely subtle motor deficits
Difficulty assessing passive stretch

Question 5

Clinical Features of Hand Compartment

Answer 5

Pain is deep, constant, poorly localized, out of proportion

Extreme swelling

Intrinsic minus position at rest (MCP joing extended with PIP joint slightly flexed)

Pain with passive stretch of the involved compartment

Question 6

Passive stretch maneuver of Interosseus

Answer 6

MCP joint extended and PIP joint fully flexed
Slight radial and ulnar deviation

Question 7

Passive stretch maneuver of Thenar, Hypothenar

Answer 7

Extension of MCP joint