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Haematoma Block for Fractures of the Wrist: A Cause of Compartment Syndrome

From the Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada

Correspondence: Derek Younge, M. D., University of Sherbrooke, Sherbrooke, Quebec, Canada J1H 5N4

A case of compartment syndrome after haematoma block for a fracture of the distal radius is reported. This seems to be the first report of this complication. A review of the literature revealed seven other cases of compartmental ischaemia reported after fracture of the distal radius, and a haematoma block was used in all the cases where the type of anaesthesia was known. It is suggested that the additional fluid added for a haematoma block can precipitate a compartment syndrome, which may be more common than the scarcity of cases reported would indicate.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 2, 194-195 (1989)
DOI: 10.1016/0266-7681(89)90124-1


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