Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed...

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Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence of Fracture by CPT Andrew Cleveland, and Miguel Pirela-Cruz JBJS Case Connect Volume 3(2):e40 April 24, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed...

Page 1: Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence.

Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed

Disruption of an Arteriovenous Fistula in the Absence of Fracture

by CPT Andrew Cleveland, and Miguel Pirela-Cruz

JBJS Case ConnectVolume 3(2):e40

April 24, 2013

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence.

Fig. 1 At presentation, the clinical appearance of the forearm showed no open injury.

CPT Andrew Cleveland, and Miguel Pirela-Cruz JBJS Case Connect 2013;3:e40

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence.

Fig. 2 The ecchymosis was noted to be worsening with time.

CPT Andrew Cleveland, and Miguel Pirela-Cruz JBJS Case Connect 2013;3:e40

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence.

Disruption of the distal cephalic vein segment of the AV fistula allowed both arterial and venous hemorrhage into the compartments of the arm and forearm.

CPT Andrew Cleveland, and Miguel Pirela-Cruz JBJS Case Connect 2013;3:e40

©2013 by The Journal of Bone and Joint Surgery, Inc.