Selection of surgical techniques

Abstract

Fasciotomy is the simplest procedure. One needs to distinguish between subcutaneous fasciotomy, which is done by palpation only (“blind”), and locoregional fasciotomy, where the skin, subcutis, and the bowstringing cord are divided under vision. This minimal invasive procedure aims to improve hand function by simple division of the cord. It is a palliative procedure, primarily indicated in the elderly whose general condition is poor. It should be used in younger patients whenever a more invasive fasciectomy is not indicated.