A deadly digital dressing: a case of surgical decompression for finger ischemia due to circumferential finger dressing.
BACKGROUND
Tubular gauze dressings are commonly used, but have potential to cause iatrogenic finger ischemia.


OBJECTIVE
To inform health care providers of an avoidable complication and to discuss appropriate methods of prevention and treatment.


METHODS
We discuss a teenage female's finger that narrowly avoided amputation after a tubular gauze dressing caused iatrogenic ischemia. Surgical decompression using a novel technique successfully salvaged the finger. Operative intervention for this complication has previously been unreported.


CONCLUSIONS
It is important that circumferential digital dressings are applied correctly. Vascular insufficiency from an occlusive dressing is an iatrogenic and avoidable complication. Successful operative decompression may be indicated to minimize tissue loss and improve circulation.
Department of Orthopedic Surgery, University of Colorado, Denver, Colorado.
Murray D
MD
Spruiell
Department of Orthopedic Surgery, University of Colorado, Denver, Colorado.
Michael J
MJ
Messina
Department of Orthopedic Surgery, University of Colorado, Denver, Colorado.
Justin J
JJ
Mitchell
Department of Orthopedic Surgery, University of Colorado, Denver, Colorado.
Frank A
FA
Scott
D000293:Adolescent; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005383:Finger Injuries / Q000628:therapy*; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D009779:Occlusive Dressings / Q000009:adverse effects*; D016896:Treatment Outcome
amputation; decompression; dressing; finger; ischemia