Acute Traumatic Compartment Syndrome of the Leg in Children: Diagnosis and Outcome

Flynn, John M.; Bashyal, Ravi K.; Yeger-McKeever, Meira; Garner, Matthew R.; Launay, Franck; Sponseller, Paul D.

doi:10.2106/jbjs.j.00285

Cited by 81 publications

(71 citation statements)

References 21 publications

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“…[5][6][7][8][9][10][11][12][13] Historically, the prevalence of ACS after open tibial shaft fractures in children is estimated at 3%-5% [14][15][16][17][18][19] ; however, there is a paucity of literature on the rate of ACS after closed tibial shaft fractures in children and teenagers. 14,15,[20][21][22][23][24][25] The primary purpose of this study was to identify the incidence of ACS in children and teenagers with tibial shaft fractures. We hypothesize that incidence of ACS in children and teenagers are much higher than previously reported.…”

Section: Introductionmentioning

confidence: 99%

Acute Compartment Syndrome in Children and Teenagers With Tibial Shaft Fractures

Shore

Glotzbecker

Zurakowski³

et al. 2013

Journal of Orthopaedic Trauma

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Section: Introductionmentioning

confidence: 99%

Acute Compartment Syndrome in Children and Teenagers With Tibial Shaft Fractures

Shore

Glotzbecker

Zurakowski³

et al. 2013

Journal of Orthopaedic Trauma

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“…Yet, the delay in diagnosis in our series was longer than that which has been reported for both of these patient Fig. 1 Functional outcome versus time from injury to fasciotomy populations [13]. In spite of this, most children still achieve excellent outcomes.…”

Section: Discussionmentioning

confidence: 50%

“…The average age of the patients at the time of injury was 9.3 years (range 0-17.8 years); there were 18 males and 5 females. The most common etiologies were fracture (13) and IV infiltration (4) ( Table 1). Other mechanisms of injury included crush injury of the hand, infection, and neonatal compartment syndrome.…”

Section: Resultsmentioning

confidence: 99%

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Acute compartment syndrome of the upper extremity in children: Diagnosis, management, and outcomes

Kanj

Gunderson

Carrigan

et al. 2013

Journal of Children's Orthopaedics

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Purpose Acute compartment syndrome (ACS) of the upper extremity is a rare but serious condition. The purpose of this study was to determine the etiology, diagnosis, treatment, and outcome of ACS of the upper extremity in a pediatric population. Methods We performed a retrospective chart review of all patients who underwent a decompressive fasciotomy for ACS of the upper extremity. Data collected included demographics, injury details, presenting symptoms, compartment measurements, time to diagnosis, time to treatment, and outcomes at the latest follow-up. Results Twenty-three children underwent fasciotomies for ACS of the forearm (15) and hand (8), at an average age of 9.3 years (range 0-17.8 years). The most common etiologies were fracture (13) and intravenous (IV) infiltration (3). The most common presenting symptoms were pain (83 %) and swelling (65 %). Compartment pressures were measured in 17/23 patients, and all but two patients had at least one compartment with a pressure [30 mmHg. The final two patients were diagnosed and treated for ACS based on clinical signs and symptoms. The average time from injury to fasciotomy was 32.8 h (3.7-158.0 h). Longterm outcome was excellent for 17 patients (74 %) and fair for 5 (22 %), based on the presence of loss of motor function, stiffness, or decreased sensation. One patient with brachial plexus injury and poor baseline function was excluded from functional outcome scoring. There was no association between the time from diagnosis to fasciotomy and functional outcome at the final follow-up (p = 1.000). Conclusions Although ACS of the upper extremity in children is often associated with a long delay between injury and fasciotomy, most children still achieve excellent outcomes. The majority of patients presented with pain and at least one additional symptom, but treatment was often delayed, implying that ACS of the upper extremity in children is a difficult diagnosis to establish and may be associated with a prolonged clinical time course.

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“…Compartment syndrome results in the disruption of the microcirculation of tissues following the pressure increase in closed osseofacial tissues (8). Tibial fractures are the most common causes of compartment syndrome in children, as is the case in adults (9). In the physical examination of compartment syndrome, findings such as tightness in the relevant compartment, severe pain in the passive movements of muscles passing along the compartment, hyperesthesia, paresthesia, and pain disproportionate to injury are observed.…”

Section: Discussionmentioning

confidence: 99%

Adolescent Proximal Tibia Physeal Injury

Ceylan¹,

Yıldırım²,

Korkmaz³

et al. 2016

JAREM

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Proximal tibial growth plate injuries are one of the rare cases seen in adolescents. Acute complications, such as arterial damage and compartment syndrome, and also chronic complications, such as genu recurvatum, can be seen in these patients. In this review, we present the treatment and complications of 2 14-year-old patients, who were admitted to our emergency service as a result of acute trauma.

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Acute Traumatic Compartment Syndrome of the Leg in Children: Diagnosis and Outcome

Cited by 81 publications

References 21 publications

Acute Compartment Syndrome in Children and Teenagers With Tibial Shaft Fractures

Acute Compartment Syndrome in Children and Teenagers With Tibial Shaft Fractures

Acute compartment syndrome of the upper extremity in children: Diagnosis, management, and outcomes

Adolescent Proximal Tibia Physeal Injury

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