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July 1987

'Kissing Lesions' of the Thorax and Upper Extremity

Author Affiliations

From the Department of Surgery, Section of Orthopaedic Surgery, University of Michigan Hospitals, Ann Arbor.

Arch Surg. 1987;122(7):821-822. doi:10.1001/archsurg.1987.01400190087017

• An upper extremity compressed beneath the body of a comatose individual can contribute to the development of a compartmental syndrome. Crushing injuries such as these can result in skin necrosis at the sites of contact between the chest wall and the compressed limb. These "kissing lesions" must be recognized as indicators of a severe crush injury and impending compartmental syndrome, as fasciotomy is urgently required.

(Arch Surg 1987;122:821-822)

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