title: Tissue pressures in pyogenic flexor tenosynovitis of the finger. Compartment syndrome and its management.
abstract: 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.
authors.affiliation: University of Southern California, Los Angeles, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Schnall
authors.forename: T
authors.initials: T
authors.lastname: Vu-Rose
authors.forename: P D
authors.initials: PD
authors.lastname: Holtom
authors.forename: B
authors.initials: B
authors.lastname: Doyle
authors.forename: M
authors.initials: M
authors.lastname: Stevanovic
mesh_terms: D000293:Adolescent; D000328:Adult; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D004322:Drainage; D005385:Fingers; D005500:Follow-Up Studies; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D011312:Pressure; D016059:Range of Motion, Articular; D013492:Suppuration; D013717:Tenosynovitis / Q000150:complications*; D007507:Therapeutic Irrigation; D016896:Treatment Outcome