Finger Fasciotomy Due to Compartment Syndrome Caused by Inoculation of Hydraulic Oil by a Pressure Machine

Isolated finger compartment syndrome is a rare disorder and is sparsely recorded in the literature. Fascial compartment pressure builds up, reducing perfusion to the finger and potentially leading to irremediable injury. We present a case of a man with severe pain who arrived at the hospital nine hours after he wounded his right ring finger in a high-pressure machine. The fingertip was pale and swollen, with a small lesion on the volar side. Capillary refill test and the pinprick test were abnormal, and radiographs showed no fracture. Finger fasciotomy was performed immediately through a radial coronal incision. The wound was left open, and on the third day after surgery, the finger showed early and clear signs of improvement. A rapid diagnosis and an urgent decompression are extremely crucial in the treatment and prognosis of the patient.