Reference : Intrinsic fasciotomy. When and why?
Scientific journals : Article
Human health sciences : Surgery
Intrinsic fasciotomy. When and why?
KHUC, Toan [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation]
CARLIER, Alain mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie de la main]
Collin, B [ > > ]
Coenen, L [> > > >]
Depierreux, L [> > > >]
LECLERCQ, Daniel mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie de la main >]
Lejeune, G [ > > ]
Annales de Chirurgie de la Main : Organe Officiel des Sociétés de Chirurgie de la Main
Expansion Scientifique Française
Yes (verified by ORBi)
[en] Amputation, Traumatic/surgery ; Arm Injuries/complications ; Contracture/etiology ; Fascia/surgery ; Hand ; Hand Deformities, Acquired/prevention & control ; Humans ; Replantation
[en] Major trauma to the upper extremity may lead to ischemic contracture of various muscle groups, sometimes including the intrinsic muscles of the hand. The clinical consequence of such necrotic fibrosis of the intrinsics is clawing of the digits with marked stiffness. After a short anatomical review of the fascias of the intrinsics, indications and operative techniques are discussed, in parallel with clinical cases. Intrinsic fasciotomy thus appears to be a major step in the prevention of digital clawing, when associated with early physiotherapy.

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