compartment syndrome of forearm Flashcards

1
Q

what is compartments syndrome of forearm?

A

A rise in pressure within these compartment due to any reason may jeopardise the blood supply to the muscle and nerve within the compartment resulting in what is known as compartment syndrome

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2
Q

causes?

A

it is caused by supracondylar fractures and fracture of both ulna and radius

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3
Q

which is the most common cases treated in compartment syndrome of forearm?

A

Volar compartment

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4
Q

how many compartment ate there in forearm? name?

A

4

  1. dorsal compartment
  2. superficial volar compartment
  3. henry’s mobile wad compartment
  4. deep volar compartment
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5
Q

what muscle are their in dorsal compartment?

A
extensor digitorum
extensor digiti minimi
extensor carpi ulnaris
abductor pollicis longus
extensor pollicis brevis
extensor pollicis longus
extensor indicis
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6
Q

what nerve are their within a dorsal compartment?

A

post interosseous nerve

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7
Q

henry’s mobile wad compartment muscle?

A

brachioradialis
extensor carpi radialis longus
extensor carpi radialis brevis

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8
Q

nerve are there within henry’s mobile wad compartment?

A

superficial radial nerve

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9
Q

superficial volar compartment muscle?

A
flexor carpi ulnaris
palmaris longus
flexor digitorum superficialis
flexor carpi radialis
pronotar tere
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10
Q

superficial voalr compartment nerve?

A

median nerve

ulnar nerve

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11
Q

deep volar compartment muscle?

A

flexor digitorum profundus
palmaris longus
flexor pollicis longus
pronator quadratus

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12
Q

deep volar compartment nerve?

A

anterior interossous nerve

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13
Q

C/f of volar compartment

A

pain with passive extension of finger/wrist

tenderness over volar aspect of forearm

flexion posture of the finger

weakness of finger/wrist flexion

decreased sensation in the disturbution of median/ulnar nerve in hand

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14
Q

c/f of mobile wad compartment

A

pain with passive wrist flexion/elbow extension

weakness of wrist extension

decrease sensation in the distribution of superficial radial nerve

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15
Q

c/f of dorsal compartment

A

pain with passive flexion of the fingers mcp joint

extension posture of the fingers

weakness of finger mcp joint extension

minial/no sensory deficit

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16
Q

pressure measurement in dorsal?

A

30+ mmHG

17
Q

management

A

fasciotomy of the skin

  1. skin incision
  2. release of superficial volar compartment
  3. relase of deep volar compartment
18
Q

forearm compartment syndrome c/f

A

pain with passive extension of fingers

19
Q

hand compartment syndrome?

A

pain with flexion of ip joints