{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:21:16Z","timestamp":1785388876890,"version":"3.55.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T00:00:00Z","timestamp":1647820800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We aimed to describe the demographic, injury-related, and treatment-related characteristics of patients who undergo fasciotomies for acute hand compartment syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cohort of 53 adult patients with acute hand compartment syndrome treated with fasciotomy at 2 tertiary care referral centers over a 10-year time period from January 1, 2006, to June 30, 2015, were retrospectively identified. We reviewed the electronic medical record for patient-related variables (eg, age, sex, smoking status, diabetes mellitus), injury-related variables (eg, mechanism of injury, presence of fractures), and treatment-related variables (eg, compartments released, number of operations, use of split-thickness skin grafts, and time from injury to surgery).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of our cohort was 45 years, and 33 patients (62%) were men. The mechanism of injury varied widely, but the most common causative mechanisms were crush injury (25%), prolonged decubitus (17%), and infection (11%). Associated hand fractures were present in 15 (28%) patients. The surgically released compartments varied; the dorsal interosseous compartments (83%), thenar compartment (75%), and hypothenar compartment (74%) were most frequently released, while the adductor pollicis compartment (43%) and Guyon canal (28%) were least frequently released.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The demographics of acute hand compartment syndrome have evolved in the last 25 years compared with the prior literature, partly as a result of the opioid epidemic leading to a rise in \u201cfound down\u201d compartment syndrome. Treating providers should recognize crush injury, prolonged decubitus, and infection as the most common causes of acute hand compartment syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221084012","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T06:29:48Z","timestamp":1647844188000},"page":"1177-1182","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Demographics of Acute Hand Compartment Syndrome"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0155-8244","authenticated-orcid":false,"given":"Derrick W.","family":"Williams","sequence":"first","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S. M.","family":"Dyer","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Brigham and Women\u2019s Hospital, Department of Orthopedic Surgery, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"von Keudell","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Brigham and Women\u2019s Hospital, Department of Orthopedic Surgery, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0155-8244","authenticated-orcid":false,"given":"Dafang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Brigham and Women\u2019s Hospital, Department of Orthopedic Surgery, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"bibr1-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4060-2"},{"key":"bibr2-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2016.03.006"},{"key":"bibr3-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2017.09.005"},{"key":"bibr4-15589447221084012","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.01307"},{"key":"bibr5-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719884662"},{"key":"bibr6-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02818-9"},{"key":"bibr7-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-007-7162-x"},{"key":"bibr8-15589447221084012","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199610000-00009"},{"key":"bibr9-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.01.034"},{"key":"bibr10-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04849-7"},{"key":"bibr11-15589447221084012","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02563-8"},{"key":"bibr12-15589447221084012","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00285"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447221084012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447221084012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447221084012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:08Z","timestamp":1777447688000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447221084012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,21]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/15589447221084012"],"URL":"https:\/\/doi.org\/10.1177\/15589447221084012","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,21]]}}}