Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Study Volume 9 Issue 7

Emergency Management of Soft Tissue Injury in Forearm Compartment Syndrome - A Case Study

Pradeep R1*, Raju J1, Tsvetanov A2, Kanchev I2, Lungarov S2, Gerasimov I2, Totev K2 and Valeshkov Y2

1Students of Medical University - Pleven, Bulgaria
2Department of Orthopaedics and Traumatology, MBAl Heart and Brain Hospital – Pleven and Medical University - Pleven, Bulgaria

*Corresponding Author: Pradeep R, Students of Medical University - Pleven, Bulgaria.

Received: April 03, 2025; Published: June 11, 2025

Abstract

In this case, a 46-year-old man suffered a high-energy trauma and arrived at the hospital two hours after the injury. He had severe swelling in his left cubital area, numbness in the areas supplied by the median nerve, and no detectable radial or ulnar pulse. X-rays revealed a Monteggia fracture-dislocation (BADO type IV). Recognizing the urgency, we immediately took him to the operating room for surgical decompression. A fasciotomy was performed on the distal brachial region and forearm, successfully restoring blood flow. Given the significant swelling, we left the wound open and used a stepwise closure approach. Three adaptive sutures with wires and two Nelaton catheters were placed to allow slow, atraumatic wound approximation. An external fixator was applied to stabilize the fracture temporarily. The wound was kept moist with daily saline dressings, and over the course of 15 days, the sutures were gradually tightened until complete closure was achieved.

 Keywords: UTIs; Pregnancy; Postpartum Period

References

Citation

Citation: Pradeep R., et al. “Emergency Management of Soft Tissue Injury in Forearm Compartment Syndrome - A Case Study”.Acta Scientific Medical Sciences 9.7 (2025): 38-40.

Copyright

Copyright: © 2025 Pradeep R., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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