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Clenched fist
2%
1/51
Intrinsic minus posturing
33%
17/51
Pain with passive stretch
65%
33/51
Compression of the superficial arch
0%
0/51
Pallor
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In a study of 19 patients with compartment syndrome of the hand, all had tense swollen hands with elevated compartment pressures. Most patients were neurologically compromised so pain with passive stretch may be difficult to illicit. Arterial inflow is present in the arch and thus pallor is not present. The typical posture of the hand is not clenched, rather it is an intrinsic minus posture of metacarpophalangeal joint extension and flexion of the proximal and distal interphalangeal joints.
1.2
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