Digital neurovascular compression due to a forgotten tourniquet

Hand Surg. 2003 Jul;8(1):133-6. doi: 10.1142/s0218810403001595.

Abstract

The surgeon may, on occasion, wish to perform a relatively minor procedure on a single finger with some types of tourniquet at the base of the finger. A potential complication of a digital tourniquet is neurovascular damage due to excessive tissue pressure and prolonged application time. We presented a case where a hand surgery and digital tourniquet was forgotten on the finger for one and a half days. Although neurovascular compromise had occurred, the left index finger was successfully saved after extensive medical treatment and leech therapy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Fingers / blood supply*
  • Fingers / innervation*
  • Humans
  • Ischemia / etiology*
  • Ischemia / therapy
  • Male
  • Medical Errors / adverse effects*
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / therapy
  • Time Factors
  • Tourniquets / adverse effects*
  • Treatment Outcome
  • Turkey