Medical Must-See: How a simple elbow dislocation led to fasciotomy six hours later

The use of peripheral nerve block likely masked early symptoms of the syndrome, doctors say.
Elbow X-rays showing simple elbow dislocation before reduction, with no signs of fracture. A. Anteroposterior view. B. Lateral view.

A Japanese woman escaped serious complications, including myonecrosis, following a simple elbow dislocation that morphed into acute compartment syndrome, doctors report.

The case also highlights how peripheral nerve block can mask early signs of the surgical emergency, say the orthopaedic surgeons from Yonemori Hospital in Kagoshima, Japan.