Compartment syndrome associated with expansile antebrachial tumors in two dogs

Maki, Lynn C.; Kim, Stanley E.; Winter, Mary; Kow, Kelvin; Conway, Julia A.; Lewis, Daniel D.

doi:10.2460/javma.244.3.346

Cited by 7 publications

(8 citation statements)

References 21 publications

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“…Esta síndrome pode desenvolver-se silenciosamente no período pós-operatório, sendo o principal diagnóstico clínico e o primeiro sinal é dor desproporcional à lesão do compartimento acometido (Cortés & Castrejón, 2003;Granchi, 2008;Radke et al, 2006;Taylor;Sullivan;Mehta, 2012;Maki et al, 2014;Pinheiro et al, 2015). Na medicina veterinária essa síndrome pode estar sendo subdiagnosticada, pois a avaliação do nível de dor é problemática até em pacientes que falam a mesma língua do examinador.…”

Section: Discussionunclassified

“…Já outros sugerem que a diferença entre a pressão diastólica e a pressão intracompartimental seja um indicador mais sensível (Matava et al, 1994;Mcqueen & Court-Brown, 1996). Em animais essa técnica foi utilizada para diagnosticar a SC em cães (Maki et al, 2014), porém como não existem estudos em felinos não foi possível a utilização das técnicas.…”

Section: Discussionunclassified

“…Várias etiologias são descritas na literatura, como lesão pós-traumática, acidentes ofídicos e compressões tumorais (Matsen;Winquist;Krugmire Junior, 1980;Garfin et al, 1985;Radke et al, 2006;Maki et al, 2014). Em humanos também tem sido reportada após cirurgias ortopédicas (Sayum Filho et al, 2011;Pinheiro et al, 2015).…”

Section: Introductionunclassified

“…O diagnóstico é principalmente clínico (Cortés & Castrejón, 2003;Granchi, 2008;Radke et al, 2006;Taylor;Sullivan;Mehta, 2012;Maki et al, 2014;Pinheiro et al, 2015). Mas adjunto aos sinais clínicos deve-se utilizar métodos de confirmação como a mensuração da pressão intracompartimental pela técnica de Whitesides (Whitesides Junior et al, 1975).…”

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Compartment syndrome suspected in domestic cat after radius and ulna fixation – Case report

Gomes

Spiller

Gouveia

et al. 2016

AVB

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RESUMO -A síndrome compartimental é uma afecção que leva à isquemia e necrose dos tecidos envolvidos, gerando graves lesões quando não identificada precocemente. Este trabalho relata o caso de uma gata de 3 anos de idade, sem raça definida, com aproximadamente 3,2 kg, atendida em uma clínica na cidade de Cuiabá-MT, com fratura proximal completa de rádio e ulna no membro torácico direito. O paciente foi submetido à cirurgia (osteossíntese de rádio e ulna), 36 horas após o procedimento cirúrgico foram observados sinais da síndrome como diminuição da temperatura do segmento distal -3 cm abaixo da fratura, cianose, ausência de dor e propriocepção. Diante desses sintomas foi realizado fasciotomias na tentativa de recuperar a perfusão sanguínea. Após 7 dias de tratamento, não foi possível reverter o quadro da síndrome, resultando em amputação do membro acometido. Logo, trata-se de uma afecção grave, subdiagnosticada que não apresenta descrições prévias na literatura nacional, e quando negligenciada enseja em amputação.Palavras-Chave: felino; isquemia; necrose; ortopedia. ABSTRACT -The compartmental syndrome is a condition, which leads to ischemia and necrosis of the tissues involved, causing, if not identified early severe injuries. We report here the case of a 3-year-old mongrel cat, with approximately 3.2 kg treated at a clinic in Cuiabá-MT, with complete fracture of the proximal radius and ulna in the right forelimb. The patient underwent surgery (osteosynthesis radio and ulna), 36 hours after the surgical procedure were observed signs of the syndrome as the decrease of the temperature 3 cm distal to the fracture, cyanosis, absence of pain and proprioception. Confronted with these symptoms fasciotomy was conducted in attempt to recover the blood perfusion. After 7 days of treatment, it was not possible to reverse the syndrome picture, resulting in amputation of the affected limb. So it is a serious condition, underdiagnosed that has no previous descriptions in the national literature, and when neglected leads in amputation.

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Compartment syndrome suspected in domestic cat after radius and ulna fixation – Case report

Gomes

Spiller

Gouveia

et al. 2016

AVB

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“…Emergent decompressive fasciotomy provides immediate relief of pressure, and early diagnosis and fasciotomy are associated with better outcomes . Although skeletal muscle CS is also the most widely recognized CS in animals, reports are limited to dogs with intracompartmental hemorrhage and expansile intracompartmental soft tissue tumors . Pathogenesis of CS in animals is likely to be similar to that in people .…”

Section: Introductionmentioning

confidence: 99%

Compartment syndrome of the muscles of mastication in a working dog following a traumatic training incident

Brida

Toole

Sutherland‐Smith

et al. 2019

J Vet Emergen Crit Care

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Objective: To describe acute compartment syndrome (CS) of the muscles of mastication in a working dog associated with a traumatic training event.Case Summary: A 2.5-year-old male Belgian Malinois was evaluated for acute blindness, severe diffuse swelling of the head, and inability to close the jaw following a traumatic incident during a bite training drill. During the exercise, the maxillary canine teeth were locked on a bite sleeve.Magnetic resonance imaging of the head and ocular system identified diffuse muscle swelling and hyperintensity, most severe in the muscles of mastication. Ocular abnormalities were not identified. Rhabdomyolysis, CS, and indirect optic nerve injury were supported by measurement of increased intramuscular pressure. Bilateral decompressive fasciotomies over the masseter and temporalis muscles resulted in immediate and marked resolution of the swelling and jaw movement. Blindness, however, did not resolve.

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Use of a minimally invasive fasciotomy technique for treatment of antebrachial compartment syndrome in two horses

Nelson¹,

Ragle²,

Barrett³

et al. 2015

javma

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Compartment syndrome associated with expansile antebrachial tumors in two dogs

Abstract: Compartment syndrome is a serious but rarely reported condition in dogs and is typically ascribed to intracompartmental hemorrhage. These 2 cases illustrate the potential for expansile intramuscular antebrachial tumors to cause compartment syndrome in dogs.

Cited by 7 publications

References 21 publications

Compartment syndrome suspected in domestic cat after radius and ulna fixation – Case report

Compartment syndrome suspected in domestic cat after radius and ulna fixation – Case report

Compartment syndrome of the muscles of mastication in a working dog following a traumatic training incident

Use of a minimally invasive fasciotomy technique for treatment of antebrachial compartment syndrome in two horses

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