Accuracy in the Measurement of Compartment Pressures: A Comparison of Three Commonly Used Devices

Boody, Antony R.; Wongworawat, Montri D.

doi:10.2106/jbjs.d.02826

Cited by 107 publications

(81 citation statements)

References 15 publications

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“…9 The resulting pressures in the right and left erector spinae muscles were 108 and 21 mm Hg, respectively. The CK at this time was 72,820 U/L, and the other peak laboratory values are presented in Table 1.…”

Section: Case Reportmentioning

confidence: 95%

A Case of Occult Compartment Syndrome and Nonresolving Rhabdomyolysis

et al. 2008

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CASE REPORT: A 32-year-old African male presented with 10 hours of severe back pain. Initial computed tomography scan of the back showed no abnormality, and initial laboratory investigations were consistent with rhabdomyolysis. Despite stopping potential causative medications, aggressive intravenous hydration, and urine alkalinization, his creatinine kinase continued to steadily climb. Thirty-six hours after admission, a magnetic resonance imaging of his back was done because of new swelling over the right paraspinal muscles and loss of sensation in this region. Marked swelling of the right erector spinae muscles was observed, and right and left compartment pressure measurements were 108 and 21 mm Hg, respectively. He had urgent fasciotomy after which his rhabdomyolysis and pain recovered.CONCLUSION: Our case highlights the need for early consideration of compartment syndrome as a possible cause of back pain in the setting of rhabdomyolysis. Rhabdomyolysis can present in the absence of late complications such as neurological and vascular compromise.KEY WORDS: occult compartment syndrome; nonresolving rhabdomyolysis; spinae muscles; fasciotomy; neurological and vascular compromise.

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Section: Case Reportmentioning

confidence: 95%

A Case of Occult Compartment Syndrome and Nonresolving Rhabdomyolysis

et al. 2008

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“…Degree of severity reporting introduces intraobserver/interobserver variability and further confounds the data. Finally, difference in mean interstitial fluid pressure, as measured by a side port needle or slit catheter [3], could influence the soft tissue swelling generated by intraarticular hydrostatic forces. This also may be true regarding shaver time and the type of blade used.…”

Section: Discussionmentioning

confidence: 99%

Fenestrated Cannulae with Outflow Reduces Fluid Gain in Shoulder Arthroscopy

Syed

Gillham

Jobe

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…In our case, we did not measure the pressure since the diagnosis was clear. Boody and Wongworawat [17] in an experimental study have compared three commonly used devices and concluded that side-port needles and slit catheters were more accurate than straight needles. The arterial line manometer was the most accurate device, the Stryker device was also very accurate and the Whitesides manometer apparatus lacks the precision needed for clinical use in their study [17].…”

Section: Discussionmentioning

confidence: 99%

Delay in diagnosis of acute on chronic exertional compartment syndrome of the leg

2009

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Exertional compartment syndrome is most commonly described in its chronic form in the young sportive patient. The acute form is a lot rarer and usually only unilateral. We report a case in which a chronic compartment syndrome became acute after intense effort. This was diagnosed rather late due to the lack of knowledge about this syndrome. The necrosis noticed during the fasciotomy was removed by iterative interventions. The wound was left in secondary healing because the patient refused a flap. Upon the patient's last follow-up visit, the wound was healed, but he had a complete deficit in dorsal flexion of the ankle, a foot drop and consequently a step-page gait.

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Accuracy in the Measurement of Compartment Pressures: A Comparison of Three Commonly Used Devices

Abstract: Side-port needles and slit catheters are more accurate than straight needles are. The arterial line manometer is the most accurate device. The Stryker device is also very accurate. The Whitesides manometer apparatus lacks the precision needed for clinical use.

Cited by 107 publications

References 15 publications

A Case of Occult Compartment Syndrome and Nonresolving Rhabdomyolysis

A Case of Occult Compartment Syndrome and Nonresolving Rhabdomyolysis

Fenestrated Cannulae with Outflow Reduces Fluid Gain in Shoulder Arthroscopy

Delay in diagnosis of acute on chronic exertional compartment syndrome of the leg

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