Lower extremity compartment syndrome
نویسندگان
چکیده
Lower extremity compartment syndrome is a devastating complication if not rapidly diagnosed and properly managed. The classic symptoms of compartment syndrome can be deceiving as they occur late. Any concern for compartment syndrome based on mechanism, or the presence of pain in the affected extremity, should prompt a compartment pressure check. Both absolute compartment pressures above 30 mm Hg and a pressure differential of less than 30 mm Hg are used to make the diagnosis. The treatment goal is first to save the patient’s life and second to salvage the affected limb. Fasciotomy is the only accepted treatment of compartment syndrome and should be performed quickly after the diagnosis is made. Outcomes after fasciotomy are best when there is no delay in treatment.
منابع مشابه
Compartment syndrome as a result of incorrect treatment
Compartment syndrome is a rare vascular disorder and an orthopedic emergency caused by high intramuscular pressure following bone fractures and some other etiologies. It mostly involves extremities, but can affect other parts of the body. The syndrome is diagnosed based on extensively varying signs and symptoms including feeling pain, pallor, pulselessness, and some other signs among patients. ...
متن کاملCurrent thinking about acute compartment syndrome of the lower extremity.
Acute compartment syndrome of the lower extremity is a clinical condition that, although uncommon, is seen fairly regularly in modern orthopedic practice. The pathophysiology of the disorder has been extensively described and is well known to physicians who care for patients with musculoskeletal injuries. The diagnosis, however, is often difficult to make. In this article, we review the clinica...
متن کاملForearm Compartment Syndrome Caused by Reperfusion Injury
Compartment syndrome is commonly seen following lower extremity ischemia. However, upper extremities' compartment syndrome, especially after any vascular surgical procedures, is infrequent. Herein we report a case of an acute forearm compartment syndrome that was developed after delayed brachial artery embolectomy.
متن کاملAcute Compartment Syndrome of the Lower Extremity: Update on Proper Evaluation and Management
Acute compartment syndrome (ACS) of the lower extremities is a common complication in patients withT lower extremity trauma or ischemia. It has been associated with significant morbidity and complications, especially in cases with missed ACS or delayed treatment. This editorial aims to present a summary of current knowledge on epidemiology, diagnostics and management. Recent progress in intra-c...
متن کاملCompartment Syndrome of the Leg Requiring Emergent Fasciotomy Resulting from Multi-Drug Overdose
A paucity of literature exists linking acute extremity compartment syndrome associated with cocaine or olanzapine overdose. LJ, a 38-year male, was initially seen at an outside hospital for acute encephalopathy and left lower extremity swelling shortly after cocaine and suspected olanzapine overdose. On presentation, totalcreatinine kinase levels were >1000 units/liter but quickly rose to 23,00...
متن کامل