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SUBFASCIAL HEMATOMA AS A COMPLICATION OF CRUSHING INJURIES TO THE FOOT
HAROLD M. CHILDRESS
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Boston City Hospital, Boston, Massachusetts
1941 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1941; 23:251-255 
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Abstract

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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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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