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Journal of Bone and Joint Surgery, 1941;23:251-255.
© 1941 by The Journal of Bone and Joint Surgery, Inc

SUBFASCIAL HEMATOMA AS A COMPLICATION OF CRUSHING INJURIES TO THE FOOT

HAROLD M. CHILDRESS M.D.1

1 Boston City Hospital, Boston, Massachusetts

1. Subfascial hemorrhage of the dorsum of the foot frequently complicates metatarsal fractures and soft-tissue damage caused by crushing trauma.

2. The cruciate ligament of the foot may act as a constricting band in subfascial swelling. This condition was produced in eight feet of cadavera injected with dye solutions.

3. Immediate multiple incisions to release and to remove the subfascial hematoma is the treatment indicated in severe cases.

4. Release by transverse section of the cruciate and transverse ligaments of the foot and ankle should be considered in persistent circulatory block.

5. Delayed or inadequate treatment results in the "congealed" foot or in necrosis of the soft tissues of the dorsal forefoot and toes.


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