Management of Orthopaedic Emergencies During a Pandemic: Compartment Syndrome of the Hand in a Patient with COVID-19: A Case Report. Issue 3 (15th July 2020)

• Record Type: Journal Article
• Authors: Hill, Kelly L.; Wu, Victor J.; Kusumoto, Hirofumi; Sherman, William F.; Savoie, Felix H.
• Is Part Of: JBJS case connector. Volume 10:Issue 3(2020)
• Page Start: e20.00377
• Page End: e20.00377
• Publication Date: 2020-07-15
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00377
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 58-year-old man presented with acute respiratory distress syndrome and coagulopathy secondary to COVID-19. He developed acute compartment syndrome (ACS) of the left hand. He underwent a bedside 10-compartment decompression of the hand with volar forearm and carpal tunnel release while in the ICU. This report adds to the scarce body of literature regarding orthopaedic complications related to COVID-19. Conclusion: Coagulopathy secondary to COVID-19 can be a risk factor for the development of ACS. Frequent examinations of lines, restraints, and extremities are recommended. The COVID-19 pandemic presents unique challenges, necessitating clinical adjustments to best care for patients.