Haematoma block for fractures of the wrist: a cause of compartment syndrome.
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.
Younge
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Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.
D000293:Adolescent; D003161:Compartment Syndromes / Q000139:chemically induced*; D006406:Hematoma / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D008297:Male; D011885:Radius Fractures / Q000150:complications*
D008012:Lidocaine