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Haematoma Block for Fractures of the Wrist: A Cause of Compartment Syndrome

1989; SAGE Publishing; Volume: 14; Issue: 2 Linguagem: Inglês

10.1016/0266-7681_89_90124-1

1532-2211

Derek Younge,

Elbow and Forearm Trauma Treatment

A case of compartment syndrome after haematoma block for a fracture of the distal radius is reported. This seems to be the first report of this complication. A review of the literature revealed seven other cases of compartmental ischaemia reported after fracture of the distal radius, and a haematoma block was used in all the cases where the type of anaesthesia was known. It is suggested that the additional fluid added for a haematoma block can precipitate a compartment syndrome, which may be more common than the scarcity of cases reported would indicate.