Upper Extremity Escharotomy and Fasciotomy

  • Rita D. Shelby
  • Rajan K. ThakkarEmail author
  • Kim A. Bjorklund


This chapter describes the surgical procedure for upper extremity escharotomy and fasciotomy. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as that found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: for escharotomy, incisions extend completely through the eschar to the level of subcutaneous fat for adequate release and ensuring complete release of constricting muscle fascia for fasciotomies.


Pediatric surgery Operative dictation Burn Escharotomy Fasciotomy Compartment syndrome 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Rita D. Shelby
    • 1
  • Rajan K. Thakkar
    • 2
    Email author
  • Kim A. Bjorklund
    • 3
  1. 1.Nationwide Children’s Hospital, Ohio State University Wexner Medical Center, Department of Pediatric SurgeryColumbusUSA
  2. 2.Nationwide Children’s Hospital, Pediatric General SurgeryColumbusUSA
  3. 3.Nationwide Children’s Hospital, Department of Plastic, Reconstructive and Hand SurgeryColumbusUSA

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