{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:07:00Z","timestamp":1759795620129,"version":"build-2065373602"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012569","name":"University of Toledo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012569","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Acute compartment syndrome (ACS) is a medical emergency that requires timely intervention, and delays in treatment can lead to severe complications such as nerve injury, muscle necrosis, amputation, and even death. Definitive treatment of ACS requires a fasciotomy. Currently, there is no consensus on the best approach for a forearm fasciotomy; compartment release is most commonly done through volar or combined volar and dorsal incisions. A trans\u2010ulnar single incision approach has been demonstrated to be effective in a case report. This study investigates if a trans\u2010ulnar single incision decompresses both deep volar and dorsal forearm compartments to less than 30\u2009mmHg in a cadaveric model of ACS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten fresh, frozen cadaveric upper extremities were injected with egg whites and compartment pressures were measured to determine successful simulation of ACS. A single trans\u2010ulnar incision was made between the Flexor Carpi Ulnaris (FCU) and Extensor Carpi Ulnaris (ECU), extending from 4 to 5\u2009cm (2\u2033) proximal to the ulnar styloid to 6 to 8\u2009cm (3\u2033) distal to the olecranon. After blunt dissection to release the compartments, pressures were measured to confirm decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ACS was successfully simulated in all upper extremities to above 30\u2009mmHg. The mean volume of saline injected to simulate local anesthetic was 38.0\u2009\u00b1\u20094.2\u2009mL. The mean operative time was 10.1\u2009min. The mean compartment readings 1\u2010min post\u2010fasciotomy were 7.1\u2009\u00b1\u20093.0\u2009mmHg for the deep volar compartment and 9.4\u2009\u00b1\u20095.6\u2009mmHg for the dorsal compartment. All fasciotomies reduced deep volar and dorsal compartment pressures below the clinical threshold of 30\u2009mmHg, with significant differences between pre\u2010 and post\u2010fasciotomy pressures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All 10 fasciotomies successfully reduced deep volar and dorsal compartment pressures to below the clinical threshold of 30\u2009mmHg, demonstrating the success of the trans\u2010ulnar single incision fasciotomy to decompress compartment syndrome in cadaveric forearms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.70157","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T04:14:45Z","timestamp":1755576885000},"page":"2982-2991","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trans\u2010Ulnar Single Incision Fasciotomy for Decompression of Forearm Compartment Syndrome: A Cadaveric Study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5553-0799","authenticated-orcid":false,"given":"Summer M.","family":"Drees","sequence":"first","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2528-564X","authenticated-orcid":false,"given":"Cade R.","family":"McGarvey","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noah","family":"Miller","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahil","family":"Kapur","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anderson","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Wright State University Boonshoft School of Medicine  Dayton Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Skie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6434-5679","authenticated-orcid":false,"given":"Ahmed Suparno","family":"Bahar Moni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The University of Toledo College of Medicine and Life Sciences  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"volume-title":"StatPearls","year":"2024","author":"Chandwani D.","key":"e_1_2_10_2_1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010014\u20100414\u20107"},{"issue":"5","key":"e_1_2_10_4_1","first-page":"329","article-title":"Current Thinking About Acute Compartment Syndrome of the Lower Extremity","volume":"53","author":"Shadgan B.","year":"2010","journal-title":"Canadian Journal of Surgery"},{"volume-title":"StatPearls","year":"2025","author":"Torlincasi A. 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