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Journal of Bone and Joint Surgery, 1974;56:1701-1707.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Ischemic Necrosis of the Intrinsic Muscles of the Hand after Thermal Injuries

ROGER E. SALISBURY 1, DANIEL W. MCKEEL 1, and ARTHUR D. MASON JR. M.D.1

1 From the United States Army Institute of Surgical Research, Brooke Army Medical Center, Fort Sam Houston

In twenty-nine consecutive autopsies after burns that involved an average of 61 per cent of the body surface, 62 per cent of the histological sections of the intrinsic muscles of both hands showed patchy or total destruction of the muscles in one or more intrinsic compartments. Considering all of the twenty-seven totally burned upper extremities, 70 per cent had severe necrosis of one or more intrinsic muscles. Of the eighteen totally burned upper extremities in which escharotomy had been performed 72 per cent had severe intrinsic-muscle necrosis, while in the nine without escharotomy 66 per cent showed severe necrosis.


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