TechniquesComplete Decompression of a Forearm Neonatal Compartment Syndrome Using a Volar Approach: A Surgical TechniqueEl Beaino, Marc MD, MSc*,†; Connors, Katherine M. MD*; Koehler, Steven M. MD* Author Information *Department of Orthopaedic Surgery and Rehabilitation Medicine †School of Public Health, State University of New York, Downstate Health Sciences University, Brooklyn, NY, USA Conflicts of Interest and Source of Funding: S.M.K. is a board or committee member of the American Society for Surgery of the Hand, a paid consultant at Integra LifeSciences, and an unpaid consultant at TriMed. The remaining authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the surgical technique described herein. Address correspondence and reprint requests to Marc El Beaino, MD, MSc, Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Health Sciences University, Brooklyn, NY, USA. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: September 2021 - Volume 25 - Issue 3 - p 142-147 doi: 10.1097/BTH.0000000000000320 Buy Metrics Abstract Fasciotomy of the forearm is a well-described technique for the treatment of compartment syndrome in adults; however, it has not been discussed with sufficient details in the setting of neonatal compartment syndrome. When performing a fasciotomy, it is imperative to decompress all compartments within the forearm to limit the ischemic damage and prevent the progression of the disease. Although it is common to utilize both volar and dorsal incisions to release these compartments, we describe a method that potentially allows for total decompression through a single volar incision with minimal to no morbidity. This novel technique provides sufficient soft-tissue exposure while improving upon the cosmesis that results from a traditional approach. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.