Objective: To present the experience of a Deparment of Neuroorthopedics in treatment of the severe deformities of the wrist using the technique of the wrist arthrodesis very often associated to other surgical procedures such as musculotendinous lengthenings and transfers.

Materials and Methods: 20 patients with neurological sequelae of cerebral palsy, head trauma, stroke and other neurological disorders of the first motoneuron were retrospectively studied. Fusion of the wrist with an specific plate was performed on these patients.

Results: We reached the consolidation of the arthrodesis in a 100% of the cases between 8 and 12 weeks. We had some complications such as 3 cases of phlictenae and edema and 4 cases needed reoperations because of the appearance of secondary deformities previously not seen. 95% of the patient were satisfied and only one wouldn’t go under the same operation again.

Discusion: Despite many text books contraindicate wrist arthrodesis in patients with neurological sequelae because of the remote possibility that they may need the flexoextensiòn for the use of walker or crutches or manual or electric wheel-chairs, in our experience many patients benefit from this procedure to correct severe deformities that make their hands absolutely dysfunctional. Besides, the intervention provides the patients and their family with benefits in terms of hygiene, dressing, very often improvement of the pain and, why not, of the aesthetics. Some patients have also gained function, passing from a dysfunctional hand to a useful hand for the basic functions of life. Nowadays, for these kind of patients to be able to move one or two fingers, if they are correctly positioned, can be useful to manage a walker, a computer or a motorized wheel-chair.

Purpose: Objective, prospective study of professional athletes with chronic forearm compartment syndrome and treatment.

Materials and methods: We studied 18 cases of chronic compartment syndrome in 12 patients. The sample consisted of 12 men in an age range of 17 to 33. Both forearms were involved in six cases. Sixteen patients were motorcyclists and two were windsurfers. The clinical picture was compatible with chronic compartment syndrome. For confirmation the compartment pressure was measured after simulating each person’s activity. The test was considered positive when the pressure measured 15′ after exercise was > 15 mmHg.

Results: The 12 patients presented clinical pictures and compartment pressure test results compatible with severe chronic compartment syndrome of the forearm with loss of sensitivity and proprioception. We found compartment pressures of 15–20 mmHg 15′ after exercise in two cases, 20–30 mmHg in six cases and > 30 mmHg in ten. The flexor and extensor compartments of the forearm were released by minimally invasive surgery.

Conclusions: We can conclude that fasciotomy was followed by clinical improvement with no evidence of loss of strength, and the athlete was able to play again within a short time.