Decompression of Neglected Compartment Syndrome of the Arm

INTRODUCTION: Compartment syndrome of the arm is rare, and delay in diagnosis or treatment can be devastating. A case is reported of compartment syndrome of the whole arm occurring in a remote location and arrival at hospital 15 hours after injury with good results despite delayed treatment. CASE REPORT: A 26 year old male presented with a combined crush injury and compartment syndrome of the arm, with delay in presentation due to remote injury and delay in rescue. Late (>16 hours)fasciotomy was performed with retention of the upper arm, elbow and proximal forearm with good residual function. CONCLUSION: Despite significant delay in treatment of compartment syndrome of the arm, useful function and tissue can be preserved with adequate decompression.