Tissue pressures in pyogenic flexor tenosynovitis of the finger. Compartment syndrome and its management

S B Schnall, T Vu-Rose, P D Holtom, B Doyle, M Stevanovic
Journal of Bone and Joint Surgery. British Volume 1996, 78 (5): 793-5
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.

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