A young man presented with severe symptoms and markedly elevated hand
compartment pressures 5 weeks after undergoing successful decompressiv
e fasciotomies for acute compartment syndrome. The patient's initial p
ostoperative course was complicated by reflex sympathetic dystrophy (R
SD). It is hypothesized that the vasomotor instability and the periodi
c vasospastic episodes associated with RSD prompted postischemic swell
ing and edema and led to the development of this unusual complication.
Copyright (C) 1998 by the American Society for Surgery of the Hand.