Compartment Syndromes (Subscribe)

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Anterior Compartment Syndrome (0)
Anterior Compartment Syndrome
Foot Compartment Syndrome (1)
Foot Compartment Syndrome
Forearm Compartment Syndromes (2)
Internet resources relating to compartment syndromes of the forearm
Hand Compartment Syndrome (2)
Hand Compartment Syndrome
Thigh Compartment Syndrome (1)
Thigh Compartment Syndrome
Volkmann Ischaemia (1)
Volkmann Ischaemia

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Compartment Syndromes

Wheeless' Textbook of Orthopaedics compartment syndrome is elevation of interstitial pressure in closed fascial compartment that results in microvascular compromise; - as duration & magnitude of interstitial pressure increase, myoneural function is impaired & necrosis of soft tissues eventually develops;

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Compartment Syndromes popular

Compartment Syndromes

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Acute compartment syndrome of the leg

Fasciotomies must be performed early, but good surgical technique is important. BMJ 2002;325:557-558 (full text)

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Acute Compartment Syndrome Of The Leg

BMJ editorial BMJ 2002;325:557-558 Acute limb compartment syndrome is a surgical emergency characterised by raised pressure in an unyielding osteofascial compartment. Sustained elevation of tissue pressure reduces capillary perfusion below a level necessary for tissue viability, and irreversible muscle and nerve damage may occur within hours. Causes include trauma, revascularisation procedures, burns, and exercise. Regardless of the cause, the increased intracompartmental pressure must be promptly decompressed by surgical fasciotomy. Missed diagnosis and late decompression are associated with significant morbidity due to irreversible ischaemic necrosis of the muscles and nerves in the compartment. Increased awareness of the syndrome and the advent of measurements of intracompartmental pressure have raised the possibility of early diagnosis and treatment. Recent publications have, however, highlighted some of the problems associated with measurements of intracompartmental pressure. 1 2 Furthermore, late or poorly performed fasciotomies may contribute to morbidity

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Chronic And Exertional Compartment Syndromes

Wheeless Textbook of Orthopaedics. Notes on:
Anterior Compartment Syndrome:
Posterior Compartment Syndrome
Lateral Compartment Syndrome
Non Operative Treatment
Indications for Surgery
Technique: (chronic anterior compartment syndrome)

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Compartment Syndrome

Orthopaedic Trauma Association Core Curriculum Presentation Course. Powerpoint Presentation made by well known authorities in the area and hosted by the OTA. You may use and edit these presentations for educational purposes provided you give credit to the original author and the OTA

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Compartment Syndrome Diagnosis

Medscape Journal Scan April 2004 Review of articles on missed diagnosis of compartment syndrome

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Compartment Syndrome eMedicine PMR

In 1881, Richard von Volkmann reported the effects of ischemia on the soft-tissue components of a limb compartment. The contractures that developed were named after him. Wilson first described the initial case of exertional compartment syndrome in 1912. Mavor, in 1956, first reported a case of chronic compartment syndrome. Since then, various cases of compartment syndrome have been reported in the literature, and pathophysiology and treatment options have been discussed. The incidence of compartment syndrome varies depending on the patient population studied and the etiology of the syndrome. In a group of patients with leg pain, according to Qvarfordt and colleagues, 14% of them were noted to have anterior compartment syndrome.1 Compartment syndrome was seen in 1-9% of leg fractures.
Synonyms and related keywords: exertional compartment syndrome, intracompartmental pressure, compartment pressure
Abraham T Rasul, Jr, MD 2007

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Compartment Syndrome Orthoteers

Definition:
* A condition where the pressure within an enclosed anatomical compartment rises sufficiently to obstruct the micro-vascular circulation causing tissue ischemia and, if left untreated, necrosis.
* A prerequisite for the development of increased tissue pressure is an envelope restricting the volume available to the enclosed tissue. Such envelopes include the epimysium, the fascia, the skin, and casts or other circumferential dressings. Examples of fascial envelopes include those surrounding the volar compartment of the forearm, the anterior compartment of the leg, and the deep posterior compartment of the leg.

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Compartment Syndrome Resulting From Tibial Fracture

compartment syndrome following tibia fractures are most common in closed frx (upto 20% of frx) but may also occur following open frx; - cast immobilization may increase pressure; - it remains unclear whether IM nailing will increase or decrease compartment pressures, but on occassion the surgeon may find a significant decrease in pressure measurements following nailing; - references: - Compartment syndrome in open tibial fractures. - Compartment syndrome after intramedullary nailing of the tibia. - compartment pressures measurements: - most common finding is isolated elevation in the deep posterior compartment followed by isolated elevation in the anterior compartment; - be sure to measure pressure in the deep posterior compartment as well as anterior & superficial compartments; - associated factors: - cast immobilization may increase pressure; - intramedullary nailing: - it remains unclear whether IM nailing will increase or decrease compartment pressures, but on occassion the surgeon may find a significant decrease in pressure measurements following nailing; - compartment pressures measurements: - most common finding is isolated elevation in the deep posterior compartment followed by isolated elevation in the anterior compartment; - be sure to measure pressure in the deep posterior compartment as well as anterior & superficial compartments; - compartment pressure measurements should be taken as close to the frx site as possible (since these will give the highest readings); - peak compartment pressures will be located within 5 cm of frx; - measurements away from the frx site may underestimate compartment pressure; - sterile technique is a must when compartments are measured, otherwise the frx hematoma may become infected;

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Compartment Syndromes Of The Upper Extremity

SOA - Orthopaedic Care.net Textbook The purpose of this chapter is to provide an overview of acute upper extremity compartment syndrome. It will review the causes, the pathophysiology, the diagnosis, and the treatment of this condition. Some discussion of chronic compartment syndrome is also presented.

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Compartmental Syndromes

Compartmental Syndromes
A compartmental syndrome is a condition in which increased pressure within a limited space compromises the circulation and function of the tissues within that space. This condition is a cause of major loss of function, limb and even life. It can result from trauma, prolonged recumbancy (in surgery or resulting from drugs or alcohol), or physical activity. It is common enough to affect thousands of individuals each year, yet rare enough that each physician may encounter it only once or twice during his or her career.

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Documentation of acute compartment syndrome

Documentation of acute compartment syndrome at an academic health-care center JBJS 2005 70% had inadequate documentation

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Exertional Compartment Syndrome Of The Leg

Exertional Compartment Syndrome of the Leg: Steps for Expedient Return to Activity Peter Edwards, MD; Mark S. Myerson, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 4 - APRIL 96 In Brief: The pain and swelling associated with exertional compartment syndrome is caused by raised intracompartmental pressures possibly induced by muscle swelling or increased osmotic pressure. Although either the acute or chronic form of exertional compartment syndrome may occur, chronic is more common. Patients typically experience pain and swelling and may also have sensory deficits or paresthesias, and motor loss or weakness. Diagnosis is confirmed by intracompartmental pressure measurements before and after exercise. Although activity modification may alleviate symptoms, fasciotomy may be required.

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Extremity Compartment Syndrome eMedicine Emergency

eMedicine 2005 Compartment syndrome (CS) is a limb-threatening and life-threatening condition observed when perfusion pressure falls below tissue pressure in a closed anatomic space. The current body of knowledge unequivocally reflects that untreated CS leads to tissue necrosis, permanent functional impairment, and, if severe, renal failure and death.

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