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Upper Limb

TISSUE PRESSURES IN PYOGENIC FLEXOR TENOSYNOVITIS OF THE FINGER

COMPARTMENT SYNDROME AND ITS MANAGEMENT



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Abstract

We investigated 14 patients with pyogenic flexor tenosynovitis for increased tissue pressures in involved digits. All showed raised pressures, in eight to 30 mmHg or more. These levels are consistent with a compartment syndrome.

We describe the results of a modified operative technique which includes irrigation of the sheath and the leaving open of a lateral incision. This also allows early active mobilisation of the finger and has given satisfactory early results.


Correspondence should be sent to Dr S. B. Schnall at the University of Southern California, Orthopaedic Surgery Associates, 1510 San Pablo Street, Suite 322, Los Angeles, California 90033-4608, USA.

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