Amputation, Traumatic/surgery; Arm Injuries/complications; Contracture/etiology; Fascia/surgery; Hand; Hand Deformities, Acquired/prevention & control; Humans; Replantation
Abstract :
[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.
Disciplines :
Surgery
Author, co-author :
KHUC, Toan ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
CARLIER, Alain ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie de la main
Collin, B
Coenen, L
Depierreux, L
LECLERCQ, Daniel ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie de la main
Lejeune, G
Language :
French
Title :
Intrinsic fasciotomy. When and why?
Publication date :
1986
Journal title :
Annales de Chirurgie de la Main: Organe Officiel des Sociétés de Chirurgie de la Main
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