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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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In A Cast Post Elbow Surgery, Have Excessively Swollen Fingers, Muscle Pain, Hanging Skin Over Cast. Advice?

i had elbow surgery last wednesday i am in a cast up to ny shoulder about 4 inches from shoulder my problem my fingers are super swollen despite elevating and my muscle hurts could the cast be too tight i am small 5 2 97 pounds and my skin hangs over top of cast fingers smushes, pinky finger feels brken and crooked help it hurts
Mon, 29 Oct 2012
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General & Family Physician,  's  Response
Hello dear
Thanks for your query ...

Your words suggests you are having too tight cast leading to compartment syndrome.
You should immediately visit your Orthopedic surgeon and get the cast opened and anything that is obstructing the circulation of hand should be removed. The condition requires restoration of blood flow and reduction of compartmental pressure.
Otherwise there are chances of development of Volkmann’s ischemic contracture.
You should use a sling to keep the area still and raise the arm above heart level.

Hope this helps.

Update here about the situation.

Take care.
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In A Cast Post Elbow Surgery, Have Excessively Swollen Fingers, Muscle Pain, Hanging Skin Over Cast. Advice?

Hello dear Thanks for your query ... Your words suggests you are having too tight cast leading to compartment syndrome. You should immediately visit your Orthopedic surgeon and get the cast opened and anything that is obstructing the circulation of hand should be removed. The condition requires restoration of blood flow and reduction of compartmental pressure. Otherwise there are chances of development of Volkmann’s ischemic contracture. You should use a sling to keep the area still and raise the arm above heart level. Hope this helps. Update here about the situation. Take care.