fasciotomy

Indications 

1. Significant functional impairment

2. PIPJ contracture

- originally thought to intervene early

- Macfarlane showed residual FFD always about 30^o

- may need to release  check rein ligaments / accessory collateral ligaments

3. MCPJ contracture >30^o

4. Trigger fingers

- must do limited fasciectomy 

1.  Antebrachial Compartment Syndrome

Aetiology

Supracondylar fracture of humerus

Both bone forearm fractures

Examination

Definition

Circulation of tissues within a closed osteofascial space are compromised by increased pressure within that space

Most common 

- anterior leg compartment

- flexor compartment forearm

- deep posterior leg compartment

Aetiology

Prerequisite is volume restricting envelope 

- fascia & skin

- POP

- dressings

1.  Increased contents

Bleeding / edema 

- fracture