Table 4.
Patient timing, fasciotomy, and outcome data
| Patient | Time intervals (h) | Compartment pressure locations and values (mmHg) (if available) | Type of fasciotomy | Motor deficits at final follow-up | Sensory deficits at final follow-up | Stiffness at final follow-up | Functional outcome | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Injury to ED admission | Injury to ACS diagnosis | ED admission to ACS diagnosis | ACS diagnosis to fasciotomy | Injury to fasciotomy | |||||||
| 01 | 7.2 | 42.5 | 35.3 | 1.7 | 44.2 | Volar FA and carpal tunnel | 0 | 0 | 0 | Excellent | |
| 02 | 3.0 | 5.3 | 2.3 | 1.1 | 6.4 | Volar FA | 0 | 0 | Lacks 20–30° pronation | Fair | |
| 03 | 4.8 | 34.0 | 29.3 | 1.5 | 35.5 | Volar FA | 0 | 0 | Lacking 10° pronation and 15–20° supination | Excellent | |
| 04 | N.A. | 1.4 | N.A. | 2.3 | N.A. | Volar FA: 38 Dorsal FA: 34 Thenar: 38 Hypothenar: 80 IO: ~45 |
Volar FA; thenar eminence; hypothenar eminence; 2nd and 4th IO; thumb abductor | Impaired strength and coordination; limiting ADL | 0 | Impaired PROM, AROM; limits participation in dressing, bathing, hygiene, play | Excluded from grading |
| 05 | N.A. | 1.8 | N.A. | 2.2 | N.A. | Volar FA: 112 | Volar FA and mobile wad | 0 | 0 | 0 | Excellent |
| 06 | 3.8 | 17.4 | 13.6 | 0.0 | 17.4 | Volar FA: 60 Dorsal FA: 20–25 |
Volar FA and carpal tunnel | 0 | 0 | 0 | Excellent |
| 07 | 29.0 | 39.1 | 10.1 | 2.9 | 42.0 | Superficial volar FA: 43 Deep volar FA: 44 Dorsal FA: 39 |
Volar FA; all dorsal compartments of the hand | 0 | 0 | 0 | Excellent |
| 08 | 5.0 | 17.3 | 12.3 | 0.0 | 17.3 | Superficial volar FA: 35 Deep volar FA: 34 Extensor: 74 |
Volar and dorsal FA | 0 | 0 | 0 | Excellent |
| 09 | 2.5 | 39.5 | 37.0 | 1.8 | 41.3 | Volar FA: 44 Mobile wad: 26 |
Volar and dorsal FA; carpal tunnel release | 0 | 0 | 0 | Excellent |
| 10 | N.A. | 3.3 | N.A. | 0.8 | N.A. | Volar FA: 65 Dorsal FA: 61 |
Volar and dorsal FA | 0 | 0 | 0 | Excellent |
| 11 | 1.1 | 48.5 | 47.4 | 3.0 | 51.5 | Superficial volar FA: 41 Deep volar FA: 50 Dorsal FA: 40 |
Volar and dorsal FA | 0 | 0 | 0 | Excellent |
| 12 | 17.0 | 56.0 | 39.0 | 2.0 | 58.0 | Volar and dorsal FA | 0 | 0 | Mild flexion of DIP joint of fifth finger on left; lacks 25° of full wrist supination/pronation | Fair | |
| 13 | 5.5 | 14.3 | 8.8 | 1.8 | 16.1 | Volar and dorsal FA; carpal tunnel release | 0 | 0 | 0 | Excellent | |
| 14 | 7.2 | 9.0 | 1.8 | 2.8 | 11.8 | Superficial volar FA: 35 Deep volar FA: 30 Mobile wad: 28 |
Volar FA; mobile wad; carpal tunnel release | 0 | Diminished median and radial nerve | 0 | Fair |
| 15 | 1.3 | 3.5 | 2.2 | 2.2 | 5.7 | Volar FA: 15 Dorsal FA: 65 Mobile wad: 32 |
Volar and dorsal FA | 0 | 0 | 0 | Excellent |
| 16 | 0.6 | 5.2 | 4.6 | 0.0 | 5.2 | Dorsal IO: 25 | Interossei and dorsal hand; thenar eminence; hypothenar eminence | Decreased grip and elbow strength; extensor muscle atrophy of forearm | Radial nerve palsy | 0 | Fair |
| 17 | N.A. | 62.0 | N.A. | 1.5 | N.A. | Hypothenar: 11 Thenar: 20 |
1–4 dorsal IO; palmar IO; thenar eminence; hypothenar eminence | 0 | 0 | 0 | Excellent |
| 18 | 4.4 | 15.8 | 11.3 | 1.7 | 17.5 | Volar FA | 0 | 0 | 0 | Excellent | |
| 19 | 55.7 | 56.5 | 0.8 | 1.7 | 58.2 | Thenar: 40 Hypothenar: 47 IO: 30–40 Dorsal FA: 16 Volar FA: 15 |
Thenar, hypothenar, dorsal IO, palmar IO, abductor pollicis | 0 | 0 | Pronation (20°) and supination deficit (5°) | Fair |
| 20 | 3.2 | 4.8 | 1.6 | 2.9 | 7.6 | Dorsal fifth: 35 Dorsal fourth: 70 Dorsal thumb: 55 Thenar: 30 Hypothenar: 55 |
Thenar, hypothenar, palmar fascia, 1st–4th IO, | 0 | 0 | 0 | Excellent |
| 21 | 3.8 | 5.0 | 1.3 | 1.9 | 6.9 | Thenar, hypothenar, IO: 50–65 | Thenar, hypothenar, all IO | 0 | 0 | 0 | Excellent |
| 22 | 148.9 | 157.0 | 8.1 | 1.0 | 158.0 | IO: all >40 Thenar: 20 Hypothenar: >40 |
Hypothenar, all IO | 0 | 0 | 0 | Excellent |
| 23 | 4.8 | 47.3 | 42.5 | 2.5 | 49.7 | Thenar, Hypothenar, IO: >40 | Thenar, hypothenar, all IO | 0 | 0 | 0 | Excellent |
FA forearm, IO interosseous