Se evaluaron la recuperación de la sensibilidad y de la movilidad en ambas manos, la intensidad del dolor y la mejoría de la cianosis distal bilateral. Se realizó un seguimiento durante 7 días. Métodos y materialesĮstudio descriptivo longitudinal prospectivo tipo reporte de caso en una paciente con síndrome compartimental de ambos miembros superiores en la que se realizó un bloqueo del ganglio estrellado y analgesia epidural cervical como medida en el tratamiento de su enfermedad.

ObjetivoĮvaluar la respuesta clínica y la seguridad al tratamiento con bloqueo del ganglio estrellado y analgesia epidural cervical en una paciente con síndrome compartimental de ambos miembros superiores. Sin embargo, existen posibilidades terapéuticas que pueden ayudar o evitar la cirugía, siempre y cuando exista la posibilidad rápida de realizar una fasciotomía si la terapia conservadora fracasa. El principal tratamiento es con fasciotomías. Puede generar necrosis y pérdida de la funcionalidad de la mano. Sympathetic block and epidural cervical analgesia are a treatment option for the comprehensive approach of the compartment syndrome, as long as the patient receives constant monitoring of any alarm signs and a surgeon is immediately available to do fasciotomies if the intervention therapy fails.Įl síndrome compartimental en la extremidad superior es considerado una urgencia. The patient evolved satisfactorily with evidence of recovery of sensitivity and mobility in both hands, adequate pain control and immediate and bilateral improved distal cyanosis. The recovery of sensitivity and the mobility were assessed on both hands, in addition to pain intensity and bilateral distal cyanosis improvement. Methods and materialsĭescriptive longitudinal prospective study in a case report format, of a patient with compartment syndrome of both upper extremities that underwent a stellate ganglion block and cervical epidural anesthesia for treating her condition. To assess the clinical response and treatment safety with stellate ganglion block and cervical epidural anesthesia in a patient with compartment syndrome of both upper limbs. However, there are therapeutic possibilities that may help or avoid surgery, provided there is always the option to do a fasciotomy when conservative treatment fails. It may cause necrosis and loss of functionality of the hand. Knowledge of the normal anatomy of the forearm improves the technical quality of the examinations, contributing to better diagnoses, as well as improving the performance and safety of interventional procedures.The upper limb compartment syndrome is considered an emergency.

Part 2 is a pictorial essay about compartment vascularization and cutaneous innervation. We present a practical approach, with general guidelines and tips on how best to perform the study. Part 1 aims to review the overall structure of nerves, muscles and tendons, as seen on HRUS, and that of the forearm compartments. The aim of these two companion articles is to present the normal anatomy of the nerves and compartments of the forearm, as revealed by HRUS, as well as the relationships between the main vessels and nerves of the region.

To guarantee the success of the evaluation by HRUS, knowledge of the normal anatomy of the region is essential. The anatomy of the forearm region is complex, with several muscles and an extensive network of vessels and nerves. Applications range from diagnostics to interventional procedures. Abstract In recent decades, high-resolution ultrasound (HRUS) has revolutionized the morphological and structural evaluation of peripheral nerves and muscles, revealing details of the internal structure of the neural fascicles and muscle architecture.

Forearm compartments