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Technique of Fasciotomy: Hand

Ko, Jason H. MD; Hanel, Douglas P. MD

doi: 10.1097/BTO.0b013e3182488404

Compartment syndrome of the hand is a potentially devastating problem that can result in significant deformity and functional loss. This article reviews the compartmental anatomy of the hand, the diagnosis of compartment syndrome, and the surgical technique for hand and finger fasciotomies, in addition to postoperative considerations. Rapid diagnosis of acute compartment syndrome and immediate surgical decompression of the compartments of the hand are necessary to achieve acceptable outcomes and prevent long-term disability.

Department of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle, WA

The authors declare that they have nothing to disclose.

Address correspondence and reprint requests to Douglas P. Hanel, MD, University of Washington Hand Center, 4245 Roosevelt Way NE, Seattle, WA 98105. E-mail:

Received December 11, 2011

Accepted December 27, 2011

© 2012 Lippincott Williams & Wilkins, Inc.