![]() ![]() Havig MT, Leversedge FJ, Seiler JG (1999) Forearm compartment pressures: an in vitro analysis of open and endoscopic assisted fasciotomy. Gelberman RH, Zakaib GS, Mubarak SJ, Hargens AR, Akeson WH (1978) Decompression of forearm compartment syndromes. Chir Main 22:186–196įröber R, Linss W (1994) Anatomic bases of the forearm compartment syndrome. įontes D, Clement R, Roure P (2003) Endoscopic aponeurotomy for chronic exertional compartmental syndrome of the forearm: report of 41 cases. (98)80019-1ĭonaldson J, Haddad B, Khan WS (2014) The pathophysiology, diagnosis and current management of acute compartment syndrome. Ĭhan PS, Steinberg DR, Pepe MD, Beredjiklian PK (1998) The significance of the three volar spaces in forearm compartment syndrome: a clinical and cadaveric correlation. Two successive incisions were necessary to decompress the anterior compartment: the incision of the superficial lamina of the deep fascia and the incision of the intermuscular septum.Īrdolino A, Zeineh N, O’Connor D (2010) Experimental study of forearm compartmental pressures. These observations supported the hypothesis of high compliance of the deep anterior compartment. The last incision of the deep lamina of the deep anterior fascia had no noticeable impact. Whereas the pressures decreased to near-baseline levels, following the fasciotomy of the intermuscular septum observed posterior to the flexor carpi radialis. The first incision of the superficial lamina of the deep fascia was not sufficient to decrease the elevated compartment pressure in the superficial and deep anterior compartments. The pressure in the superficial and deep anterior compartments was recorded four times, both before and after each fasciotomy and the compliance of the deep anterior compartment was calculated for each step. A deep forearm injection of egg white was undertaken to create an acute forearm compartment syndrome in sixteen non-embalmed human forearms from six male and two female donors. MethodsĪn experimental study of a laboratory model of acute forearm compartment syndrome was performed. Further, the compliance of the deep anterior compartment was also investigated, to strengthen our results. The main purpose of this study was to determine how many fasciae should be opened to fully decompress the forearm anterior compartment. Knowledge of the normal anatomy of the forearm improves the technical quality of the examinations, contributing to better diagnoses, as well as improving the performance and safety of interventional procedures.There is no typical approach for decompression of forearm compartment syndrome, due to contradictory considerations regarding the characteristics of forearm anterior compartment deep fascia. Part 2 is a pictorial essay about compartment vascularization and cutaneous innervation. We present a practical approach, with general guidelines and tips on how best to perform the study. Part 1 aims to review the overall structure of nerves, muscles and tendons, as seen on HRUS, and that of the forearm compartments. The aim of these two companion articles is to present the normal anatomy of the nerves and compartments of the forearm, as revealed by HRUS, as well as the relationships between the main vessels and nerves of the region. To guarantee the success of the evaluation by HRUS, knowledge of the normal anatomy of the region is essential. The anatomy of the forearm region is complex, with several muscles and an extensive network of vessels and nerves. Applications range from diagnostics to interventional procedures. Abstract In recent decades, high-resolution ultrasound (HRUS) has revolutionized the morphological and structural evaluation of peripheral nerves and muscles, revealing details of the internal structure of the neural fascicles and muscle architecture.
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