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Case Reports
. 2020 Jul-Sep;10(3):e20.00377.
doi: 10.2106/JBJS.CC.20.00377.

Management of Orthopaedic Emergencies During a Pandemic: Compartment Syndrome of the Hand in a Patient with COVID-19: A Case Report

Kelly L Hill  1 , Victor J Wu, Hirofumi Kusumoto, William F Sherman, Felix H Savoie 3rd
Affiliations
Case Reports

Management of Orthopaedic Emergencies During a Pandemic: Compartment Syndrome of the Hand in a Patient with COVID-19: A Case Report

Kelly L Hill et al. JBJS Case Connect. 2020 Jul-Sep.

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.

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