Compartment Syndrome of the Hand from a Bullous Eruption

Abstract

Compartment syndrome of the hand can be a challenging diagnosis to ascertain. The difficulty in diagnosis is in part due to an absence of an established diagnostic criteria. Additionally, when a patient presents obtunded or with an altered sensorium the identification of compartment syndrome of the hand can be further complicated. Despite the potential difficulty in diagnosis, it's of upmost importance for orthopedic surgeons to recognize and treat this entity in an expeditious manner. Without prompt treatment, the risk to the patient is increased morbidity including possible amputation. Here within, we present a unique and thought-provoking case along with a review of the literature. The purpose of sharing this case is to highlight potential clues to aid in prompt diagnosis and improve patient outcomes.