Acute hand pain resulting in spontaneous thenar compartment syndrome

Compartment syndrome is a potentially limb-threatening disease process, leading to decreased tissue perfusion and cellular death [1]. The following presentation is believed to be the first reported case of thenar compartment syndrome, which occurred without an identifiable cause. A 67-year-old male...

Full description

Saved in:
Bibliographic Details
Published inThe American journal of emergency medicine Vol. 37; no. 3; pp. 561.e3 - 561.e4
Main Author Neth, Matthew R.
Format Journal Article
LanguageEnglish
Published Philadelphia Elsevier Inc 01.03.2019
Elsevier Limited
Subjects
Blood pressure
Bone surgery
Cell death
Compartment syndrome
Diagnosis
Digits
Emergency medical care
Fasciotomy
Fingers & toes
Firmness
Hand pain
Infections
Morbidity
Pain
Perfusion
Poikilothermia
Quality of life
Spontaneous
Thenar
Trauma
United States > US
Kalamazoo Michigan
Fasciotomy
Hand pain
Compartment syndrome
Spontaneous
Thenar
Online AccessGet full text

Cover

Abstract Compartment syndrome is a potentially limb-threatening disease process, leading to decreased tissue perfusion and cellular death [1]. The following presentation is believed to be the first reported case of thenar compartment syndrome, which occurred without an identifiable cause. A 67-year-old male presented with 12 h of left-hand pain, located at the base of the thumb and worsened with movement. Firmness of the thenar eminence, along with pallor, poikilothermia, and paresthesias of the first and second digits lead to the increased suspicion for compartment syndrome. The diagnosis was confirmed and successfully managed in the operating room. While relatively uncommon, clinicians should consider the diagnosis of compartment syndrome of the hand when patients present with acute hand pain. A missed or delayed diagnosis can lead to severe morbidity, which can profoundly affect patients' functional outcomes and quality of life.
AbstractList Compartment syndrome is a potentially limb-threatening disease process, leading to decreased tissue perfusion and cellular death [1]. The following presentation is believed to be the first reported case of thenar compartment syndrome, which occurred without an identifiable cause. A 67-year-old male presented with 12 h of left-hand pain, located at the base of the thumb and worsened with movement. Firmness of the thenar eminence, along with pallor, poikilothermia, and paresthesias of the first and second digits lead to the increased suspicion for compartment syndrome. The diagnosis was confirmed and successfully managed in the operating room. While relatively uncommon, clinicians should consider the diagnosis of compartment syndrome of the hand when patients present with acute hand pain. A missed or delayed diagnosis can lead to severe morbidity, which can profoundly affect patients' functional outcomes and quality of life.
Author Neth, Matthew R.
Author_xml – sequence: 1
  givenname: Matthew R.
  orcidid: 0000-0002-3882-9637
  surname: Neth
  fullname: Neth, Matthew R.
  email: nethmr@ucmail.uc.edu
  organization: University of Cincinnati, Department of Emergency Medicine, Cincinnati, OH, United States of America
BookMark eNp9kE1LxDAQhoOs4O7qH_BU8OKlNZNumgpeZP2EBS96DmkydVu2SU1SYf-9WdaTB0_DwPMM77wLMrPOIiGXQAugUN30hepxKBiFugAoaMlPyBx4yfIaBMzInIqS55Xg4owsQugpBVjx1Zw83OspYrZV1mSj6mzmMUy72NnPLC1hdDYqi24KWdyiVT7TbhiVjwPamIW9Nd4NeE5OW7ULePE7l-Tj6fF9_ZJv3p5f1_ebXJcVxLxiWBumTVNR3jSc6wq4aZApRICWaii1qZjmt3VbN6oFFMljWoDAWmhTlktyfbw7evc1YYhy6ILG3e4YUTLgPD1dUZbQqz9o7yZvU7pE1QJKepvIJWFHSnsXgsdWjr4blN9LoPJQrOzloVh5KFYCyFRsku6OEqZXvzv0MugOrUbTedRRGtf9p_8Af_qDig
CitedBy_id crossref_primary_10_1136_bcr_2020_241320
crossref_primary_10_5811_cpcem_2022_8_57193
crossref_primary_10_1016_j_ajem_2021_02_048
Cites_doi 10.1097/00003086-198503000-00026
10.1016/j.jemermed.2011.06.133
10.14503/THIJ-16-5795
10.1016/j.ocl.2016.03.006
10.1177/1753193412468577
10.1016/j.hcl.2017.09.005
10.1016/j.jclinane.2018.01.020
ContentType Journal Article
Copyright 2018 Elsevier Inc.
Copyright Elsevier Limited Mar 2019
Copyright_xml – notice: 2018 Elsevier Inc.
– notice: Copyright Elsevier Limited Mar 2019
DBID AAYXX
CITATION
3V.
7RV
7T5
7X7
7XB
88E
8FI
8FJ
8FK
8G5
ABUWG
AFKRA
AZQEC
BENPR
CCPQU
DWQXO
FYUFA
GHDGH
GNUQQ
GUQSH
H94
K9.
KB0
M0S
M1P
M2O
MBDVC
NAPCQ
PQEST
PQQKQ
PQUKI
Q9U
7X8
DOI 10.1016/j.ajem.2018.11.035
DatabaseName CrossRef
ProQuest Central (Corporate)
Nursing & Allied Health Database
Immunology Abstracts
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
Research Library (Alumni Edition)
ProQuest Central (Alumni)
ProQuest Central
ProQuest Central Essentials
ProQuest Central
ProQuest One Community College
ProQuest Central
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
Research Library Prep
AIDS and Cancer Research Abstracts
ProQuest Health & Medical Complete (Alumni)
Nursing & Allied Health Database (Alumni Edition)
Health & Medical Collection (Alumni Edition)
Medical Database
Research Library
Research Library (Corporate)
Nursing & Allied Health Premium
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central Basic
MEDLINE - Academic
DatabaseTitle CrossRef
Research Library Prep
ProQuest Central Student
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
Research Library (Alumni Edition)
ProQuest Central
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
AIDS and Cancer Research Abstracts
ProQuest Research Library
ProQuest Medical Library (Alumni)
ProQuest Central Basic
ProQuest One Academic Eastern Edition
ProQuest Nursing & Allied Health Source
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Hospital Collection (Alumni)
Nursing & Allied Health Premium
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
Immunology Abstracts
ProQuest Nursing & Allied Health Source (Alumni)
ProQuest One Academic
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList
Research Library Prep
Database_xml – sequence: 1
  dbid: BENPR
  name: ProQuest Central
  url: https://www.proquest.com/central
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1532-8171
EndPage 561.e4
ExternalDocumentID 10_1016_j_ajem_2018_11_035
S0735675718309483
GeographicLocations United States--US
Kalamazoo Michigan
GeographicLocations_xml – name: Kalamazoo Michigan
– name: United States--US
GroupedDBID ---
--K
--M
.1-
.FO
.GJ
.~1
0R~
123
1B1
1P~
1RT
1~.
1~5
23M
354
3V.
4.4
457
4G.
53G
5RE
5VS
6J9
7-5
71M
7RV
7X7
88E
8F7
8FI
8FJ
8G5
8P~
9JM
A8Z
AACTN
AAEDT
AAEDW
AAIAV
AAIKJ
AAKOC
AALRI
AAOAW
AAQFI
AAQQT
AAQXK
AAWTL
AAXUO
ABBQC
ABFNM
ABJNI
ABLJU
ABLVK
ABMAC
ABMZM
ABOCM
ABUWG
ABXDB
ABYKQ
ACDAQ
ACGFO
ACGFS
ACIWK
ACPRK
ACRLP
ADBBV
ADEZE
ADFRT
ADMUD
AEBSH
AEKER
AENEX
AEVXI
AFCTW
AFFNX
AFKRA
AFKWA
AFRAH
AFRHN
AFTJW
AFXIZ
AGHFR
AGUBO
AGYEJ
AHHHB
AHMBA
AIEXJ
AIKHN
AITUG
AJBFU
AJOXV
AJRQY
AJUYK
ALMA_UNASSIGNED_HOLDINGS
AMFUW
AMRAJ
ANZVX
ASPBG
AVWKF
AXJTR
AZFZN
AZQEC
BENPR
BKEYQ
BKOJK
BLXMC
BNPGV
BPHCQ
BVXVI
C45
CAG
CCPQU
COF
CS3
DWQXO
EBS
EFJIC
EFLBG
EJD
EMOBN
EO8
EO9
EP2
EP3
ESTFP
EX3
F5P
FDB
FEDTE
FGOYB
FIRID
FNPLU
FYGXN
FYUFA
G-2
G-Q
GBLVA
GNUQQ
GUQSH
HDV
HMCUK
HMK
HMO
HVGLF
HZ~
IHE
J1W
K-O
KOM
LCYCR
LX1
M1P
M29
M2O
M41
MO0
N4W
N9A
NAPCQ
O-L
O9-
OAUVE
OBH
OB~
OHH
OM0
OVD
OZT
P-8
P-9
P2P
PC.
PQQKQ
PROAC
PSQYO
Q38
R2-
RIG
ROL
RPZ
SAE
SDF
SDG
SDP
SEL
SES
SEW
SJN
SPCBC
SSH
SSZ
SV3
T5K
TEORI
UAP
UHS
UKHRP
UNMZH
UV1
WOW
WUQ
Z5R
ZGI
ZY1
~G-
AAXKI
AAYXX
AFJKZ
AKRWK
ALIPV
CITATION
7T5
7XB
8FK
H94
K9.
MBDVC
PQEST
PQUKI
Q9U
7X8
ID FETCH-LOGICAL-c361t-62e8d2cdb605bb55c615dbe2aee11f0c13cd62c598f8baf1e7c362c717e87cd33
IEDL.DBID .~1
ISSN 0735-6757
IngestDate Fri Aug 16 01:47:14 EDT 2024
Sun Oct 06 06:37:14 EDT 2024
Thu Sep 26 15:40:03 EDT 2024
Fri Feb 23 02:48:30 EST 2024
IsPeerReviewed true
IsScholarly true
Issue 3
Keywords Fasciotomy
Hand pain
Compartment syndrome
Spontaneous
Thenar
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c361t-62e8d2cdb605bb55c615dbe2aee11f0c13cd62c598f8baf1e7c362c717e87cd33
Notes ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ORCID 0000-0002-3882-9637
PQID 2187130915
PQPubID 1216387
ParticipantIDs proquest_miscellaneous_2155153602
proquest_journals_2187130915
crossref_primary_10_1016_j_ajem_2018_11_035
elsevier_sciencedirect_doi_10_1016_j_ajem_2018_11_035
PublicationCentury 2000
PublicationDate March 2019
2019-03-00
20190301
PublicationDateYYYYMMDD 2019-03-01
PublicationDate_xml – month: 03
  year: 2019
  text: March 2019
PublicationDecade 2010
PublicationPlace Philadelphia
PublicationPlace_xml – name: Philadelphia
PublicationTitle The American journal of emergency medicine
PublicationYear 2019
Publisher Elsevier Inc
Elsevier Limited
Publisher_xml – name: Elsevier Inc
– name: Elsevier Limited
References Werman, Rancour, Nelson (bb0015) 2013; 44
Farhadieh, Bulstrode, Cugno (bb0055) 2015
Varacallo, Shirey, Kavuri, Harding (bb0045) 2018; 47
Al-Qattan (bb0050) 2013; 38
Košir, Čretnik (bb0010) 2017
Budeyri, Cankus, Meric, Sever (bb0035) 2018; 10
Rubinstein, Ahmed, Vosbikian (bb0060) 2018; 34
Stevanovic, Sharpe (bb0070) 2017
Oak, Abrams (bb0005) 2016; 47
Hamdi, Baccari, Daghfous, Tarhouni (bb0020) 2010; 13
Petratos, Galanakos, Stavropoulos, Anastasopoulos (bb0025) 2011; 20
Jue, Karam, Mejia, Shroff (bb0040) 2017; 44
Osgood (bb0065) 2017
Roberts, Csencsitz, Heard (bb0030) 1985; 193
Roberts (10.1016/j.ajem.2018.11.035_bb0030) 1985; 193
Varacallo (10.1016/j.ajem.2018.11.035_bb0045) 2018; 47
Farhadieh (10.1016/j.ajem.2018.11.035_bb0055) 2015
Osgood (10.1016/j.ajem.2018.11.035_bb0065) 2017
Oak (10.1016/j.ajem.2018.11.035_bb0005) 2016; 47
Hamdi (10.1016/j.ajem.2018.11.035_bb0020) 2010; 13
Werman (10.1016/j.ajem.2018.11.035_bb0015) 2013; 44
Košir (10.1016/j.ajem.2018.11.035_bb0010) 2017
Al-Qattan (10.1016/j.ajem.2018.11.035_bb0050) 2013; 38
Stevanovic (10.1016/j.ajem.2018.11.035_bb0070) 2017
Petratos (10.1016/j.ajem.2018.11.035_bb0025) 2011; 20
Jue (10.1016/j.ajem.2018.11.035_bb0040) 2017; 44
Rubinstein (10.1016/j.ajem.2018.11.035_bb0060) 2018; 34
Budeyri (10.1016/j.ajem.2018.11.035_bb0035) 2018; 10
References_xml – volume: 44
  start-page: 73
  year: 2017
  end-page: 76
  ident: bb0040
  article-title: Compartment syndrome of the hand: a rare sequela of transradial cardiac catheterization
  publication-title: Tex Heart Inst J
  contributor:
    fullname: Shroff
– start-page: 1763
  year: 2017
  end-page: 1787
  ident: bb0070
  article-title: Compartment syndrome and volkmann ischemic contracture
  contributor:
    fullname: Sharpe
– volume: 20
  start-page: 202
  year: 2011
  end-page: 205
  ident: bb0025
  article-title: Late compartment syndrome of the hand due to wasp sting in a child
  publication-title: J Surg Orthop Adv
  contributor:
    fullname: Anastasopoulos
– volume: 193
  start-page: 184
  year: 1985
  end-page: 188
  ident: bb0030
  article-title: Upper extremity compartment syndromes following pit viper envenomation
  publication-title: Clin Orthop Relat Res
  contributor:
    fullname: Heard
– volume: 10
  year: 2018
  ident: bb0035
  article-title: Thenar compartment syndrome: what if a compartment pressure measuring device is absent?
  publication-title: Cureus
  contributor:
    fullname: Sever
– volume: 34
  start-page: 41
  year: 2018
  end-page: 52
  ident: bb0060
  article-title: Hand compartment syndrome
  publication-title: Hand Clin
  contributor:
    fullname: Vosbikian
– volume: 13
  start-page: 117
  year: 2010
  end-page: 119
  ident: bb0020
  article-title: Upper limb compartment syndrome after an adder bite: a case report
  publication-title: Chin J Traumatol
  contributor:
    fullname: Tarhouni
– start-page: 1147
  year: 2017
  end-page: 1156
  ident: bb0010
  article-title: Extremity compartment syndromes
  contributor:
    fullname: Čretnik
– volume: 38
  start-page: 880
  year: 2013
  end-page: 887
  ident: bb0050
  article-title: The exploded hand syndrome: a report of five industrial injury cases
  publication-title: J Hand Surg Eur Vol
  contributor:
    fullname: Al-Qattan
– volume: 47
  start-page: 609
  year: 2016
  end-page: 616
  ident: bb0005
  article-title: Compartment syndrome of the hand
  publication-title: Orthop Clin North Am
  contributor:
    fullname: Abrams
– volume: 44
  start-page: 85
  year: 2013
  end-page: 88
  ident: bb0015
  article-title: Two cases of thenar compartment syndrome from blunt trauma
  publication-title: J Emerg Med
  contributor:
    fullname: Nelson
– start-page: 769
  year: 2015
  end-page: 776
  ident: bb0055
  article-title: Compartment syndrome in the extremities
  contributor:
    fullname: Cugno
– start-page: 1286
  year: 2017
  end-page: 1290
  ident: bb0065
  article-title: The management of extremity compartment syndrome
  contributor:
    fullname: Osgood
– volume: 47
  start-page: 1
  year: 2018
  end-page: 2
  ident: bb0045
  article-title: Acute compartment syndrome of the hand secondary to propofol extravasation
  publication-title: J Clin Anesth
  contributor:
    fullname: Harding
– start-page: 1286
  year: 2017
  ident: 10.1016/j.ajem.2018.11.035_bb0065
  contributor:
    fullname: Osgood
– volume: 193
  start-page: 184
  year: 1985
  ident: 10.1016/j.ajem.2018.11.035_bb0030
  article-title: Upper extremity compartment syndromes following pit viper envenomation
  publication-title: Clin Orthop Relat Res
  doi: 10.1097/00003086-198503000-00026
  contributor:
    fullname: Roberts
– volume: 44
  start-page: 85
  year: 2013
  ident: 10.1016/j.ajem.2018.11.035_bb0015
  article-title: Two cases of thenar compartment syndrome from blunt trauma
  publication-title: J Emerg Med
  doi: 10.1016/j.jemermed.2011.06.133
  contributor:
    fullname: Werman
– volume: 13
  start-page: 117
  year: 2010
  ident: 10.1016/j.ajem.2018.11.035_bb0020
  article-title: Upper limb compartment syndrome after an adder bite: a case report
  publication-title: Chin J Traumatol
  contributor:
    fullname: Hamdi
– volume: 44
  start-page: 73
  year: 2017
  ident: 10.1016/j.ajem.2018.11.035_bb0040
  article-title: Compartment syndrome of the hand: a rare sequela of transradial cardiac catheterization
  publication-title: Tex Heart Inst J
  doi: 10.14503/THIJ-16-5795
  contributor:
    fullname: Jue
– start-page: 769
  year: 2015
  ident: 10.1016/j.ajem.2018.11.035_bb0055
  contributor:
    fullname: Farhadieh
– volume: 10
  year: 2018
  ident: 10.1016/j.ajem.2018.11.035_bb0035
  article-title: Thenar compartment syndrome: what if a compartment pressure measuring device is absent?
  publication-title: Cureus
  contributor:
    fullname: Budeyri
– volume: 47
  start-page: 609
  year: 2016
  ident: 10.1016/j.ajem.2018.11.035_bb0005
  article-title: Compartment syndrome of the hand
  publication-title: Orthop Clin North Am
  doi: 10.1016/j.ocl.2016.03.006
  contributor:
    fullname: Oak
– volume: 38
  start-page: 880
  year: 2013
  ident: 10.1016/j.ajem.2018.11.035_bb0050
  article-title: The exploded hand syndrome: a report of five industrial injury cases
  publication-title: J Hand Surg Eur Vol
  doi: 10.1177/1753193412468577
  contributor:
    fullname: Al-Qattan
– start-page: 1763
  year: 2017
  ident: 10.1016/j.ajem.2018.11.035_bb0070
  contributor:
    fullname: Stevanovic
– start-page: 1147
  year: 2017
  ident: 10.1016/j.ajem.2018.11.035_bb0010
  contributor:
    fullname: Košir
– volume: 20
  start-page: 202
  year: 2011
  ident: 10.1016/j.ajem.2018.11.035_bb0025
  article-title: Late compartment syndrome of the hand due to wasp sting in a child
  publication-title: J Surg Orthop Adv
  contributor:
    fullname: Petratos
– volume: 34
  start-page: 41
  year: 2018
  ident: 10.1016/j.ajem.2018.11.035_bb0060
  article-title: Hand compartment syndrome
  publication-title: Hand Clin
  doi: 10.1016/j.hcl.2017.09.005
  contributor:
    fullname: Rubinstein
– volume: 47
  start-page: 1
  year: 2018
  ident: 10.1016/j.ajem.2018.11.035_bb0045
  article-title: Acute compartment syndrome of the hand secondary to propofol extravasation
  publication-title: J Clin Anesth
  doi: 10.1016/j.jclinane.2018.01.020
  contributor:
    fullname: Varacallo
SSID ssj0011454
Score 2.2771611
Snippet Compartment syndrome is a potentially limb-threatening disease process, leading to decreased tissue perfusion and cellular death [1]. The following...
SourceID proquest
crossref
elsevier
SourceType Aggregation Database
Publisher
StartPage 561.e3
SubjectTerms Blood pressure
Bone surgery
Cell death
Compartment syndrome
Diagnosis
Digits
Emergency medical care
Fasciotomy
Fingers & toes
Firmness
Hand pain
Infections
Morbidity
Pain
Perfusion
Poikilothermia
Quality of life
Spontaneous
Thenar
Trauma
SummonAdditionalLinks – databaseName: Health & Medical Collection
  dbid: 7X7
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LSwMxEB5qBfEiPrG-iOBNYptss0lPUtRSBD1Z6C0k2azQQ1vr9v87s48KIj0u-4LZ7Hzfl3yZAbhTUZoUYZVrpJ-8nwvBTa48177vlJIDKUJZ7fM9HU_6r1M1bcG42QtDtsomJ5aJOlsEmiPvIhShnkJ0U13naRYgFN3H5Ren_lG0zlo309iBXSGRVuDI1tON9ELSX_ZDw_FMVnul6-0zldPLzSLtSRfmgep5lo3f_oWoP8m6RKDRIRzU1JENq299BK04P4a9t3px_ASeh2FdREZT4WyJgp-hkia74PyT4QFZYZEIRlT6jCoeuBWr_OelzZw1lQtOYTJ6-Xga87pJAg9JKgqeymgyGTKPusR7pQJSlMxH6WIUIu8FkYQslUENTG68y0XUeJ8MqOKi0SFLkjNozxfzeA4seJ8lTuSGQN_k0Xnd8wZzgkH5nTrdgfsmLnZZ1cKwjUlsZimKlqKIosJiFDugmtDZGs0rlLaYrLfed9XE2db_07f9_foduN2cxj-Bljeq2OE1yP5UkvbkxfZHXMI-vm9QOcmuoF2s1vEaqUXhb8pR8wOgosz3
  priority: 102
  providerName: ProQuest
Title Acute hand pain resulting in spontaneous thenar compartment syndrome
URI https://dx.doi.org/10.1016/j.ajem.2018.11.035
https://www.proquest.com/docview/2187130915/abstract/
https://search.proquest.com/docview/2155153602
Volume 37
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3PS8MwGA1DQbyIP3E6RwRv0m1JmzY7zrkxFYeog91Ck6ayHeqY29W_3Zf-GCjiwUtLm4SWr8n3vde8fCHkSlguQ4RVLwL89IKUMU-mQnuRDmIheJczk2f7HIejSXA_FdMa6VdrYZyssvT9hU_PvXV5p11as72Yzdov6JwCcBfO1QdHkS7jZ4BghD7d-tzIPAD3853QXGXP1S4XzhQar3hu3Wp0Jlsuk2e-5duvwemHm85jz3Cf7JWgkfaK9zogNZsdkp3Hclr8iNz2zHplqfsJTheg-hQc2gkFszeKCyeCBQS04PjU5TqIl7RQnucCc1rlLDgmk-HgtT_yyu0RPOOHbOWF3MqEm0SDkWgthAE4SbTlsbWMpR3DfJOE3IiuTKWOU2YjtOMG_M3KyCS-f0K2svfMnhJqtE78mKXShXuZ2lhHHS3hDSSIdxhHdXJd2UUtiiwYqpKHzZWzonJWBJ1QsGKdiMp06tu3VHDTf7ZrVHZW5Uj6UIAg4NFANSi-3BRjDLiJjcJ2qAPcJ_yww8_--ehzsourbiEua5Ct1XJtL4A2VrqZdycco2nUJNu9u4fRGOebwfjp-QvFYNY1
link.rule.ids 315,786,790,4521,12083,21416,24144,27957,27958,31754,31755,33779,33780,43345,43840,45620,45714,74102,74659
linkProvider Elsevier
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fS8MwED50A_VF_InTqRF8k-qSNm32JFM3pm5DZIO9hSZNhT1sc-v-fy9tOkFkj6VNC5fkvvtyX-8AbrlhIkRY9SIMP70gpdQTKVdepIKYc9ZkVOfVPgdhdxS8jfnYHbgtnayy9Im5o05m2p6RPyAUIZ9CdOOP82_Pdo2y2VXXQmMbqoGPVKUC1af24ONznUegQd4HDdexldjzyP02Uyi84omx_6JTcW_reOYN3_6Fpj9OOkeezgHsu5CRtIo5PoQtMz2Cnb5Lih_DS0uvMkPsETiZI9EnyKCtTHD6RfDCSmAxADTI8ImtdBAvSKE7z-XlpKxYcAKjTnv43PVccwRP-yHNvJAZkTCdKOQjSnGuMTRJlGGxMZSmDU19nYRM86ZIhYpTaiIcxzSyNyMinfj-KVSms6k5A6KVSvyYpsKCvUhNrKKGEugLBNLuMI5qcFfaRc6LGhiyFIdNpLWitFZEMiHRijXgpemkQ_ECnSU66Y3j6qWdpdtHS_k76zW4Wd_GHWDTGoXt8BmM-rgfNtj55ldcw2532O_J3uvg_QL28NvNQk1Wh0q2WJlLDC8ydeXW0A_ZVc2Q
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3PS8MwFA46YXgRf-J0agRvEm3SpclOMpxj_hoeHOwWkjQVdujm1v3_vrTpBJEdS5sUXpL3vS_58h5CN9wxmQCsEgHhJ-lklBKZcUOE6WjOWZdRW2b7HCXDcedlwidB_7QMssraJ5aOOp1Zv0d-D1AEfArQjd9nQRbx0R88zL-JryDlT1pDOY1ttAMoGflqBmKyJl8Q9pcV0WBGe7E9F-ECTaX10lPnb6VTeeczepal3_4FqT_uusSgwT7aC8Ej7lWjfYC2XH6Imu_hePwI9Xt2VTjsN8PxHCg_Bi7tBYP5F4YHL4aFUNAB18c-54Fe4EqBXgrNcZ274BiNB0-fj0MSyiQQGye0IAlzMmU2NcBMjOHcQpCSGse0c5RmkaWxTRNmeVdm0uiMOgHtmAUe56SwaRyfoEY-y90pwtaYNNY0kx72Zea0EZGR4BUkEPBEixa6re2i5lU2DFXLxKbKW1F5KwKtUGDFFuK16VTA8wqnFbjrje3atZ1VWFFL9Tv-LXS9fg1rwR9wVLaDbyD-43ESsbPNXVyhJkwe9fY8ej1Hu_DrbiUra6NGsVi5C4gzCnNZTqAfulvQVg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Acute+hand+pain+resulting+in+spontaneous+thenar+compartment+syndrome&rft.jtitle=The+American+journal+of+emergency+medicine&rft.au=Neth%2C+Matthew+R&rft.date=2019-03-01&rft.eissn=1532-8171&rft.volume=37&rft.issue=3&rft.spage=561.e3&rft.epage=561.e4&rft_id=info:doi/10.1016%2Fj.ajem.2018.11.035&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0735-6757&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0735-6757&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0735-6757&client=summon