Compartment Syndrome

Bowyer, Col Mark W.

doi:10.1007/978-1-4939-1326-8_4

Cited by 3 publications

(12 citation statements)

References 101 publications

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“…2, 3, 9 However, a variety of other etiologies, including non-traumatic causes, can contribute to ACS and are listed in Table 1. There are atypical causes of ACS that nonorthopedic providers need to be cognizant of.…”

Section: Common Causes Of Acsmentioning

confidence: 99%

“…2, 11, 13 Each compartment contains specific nerves, arteries and veins, muscles, and bony structures that with injury contribute to the unique clinical presentations in ACS. Knowledge about the most important structures within these compartments is critical to efficiently assess and diagnose physiologic changes in ACS that contribute to pathologic development.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Knowledge about the most important structures within these compartments is critical to efficiently assess and diagnose physiologic changes in ACS that contribute to pathologic development. 2, 3, 8, 9 …”

Section: Pathophysiologymentioning

confidence: 99%

“…Furthermore, presentation of these symptoms will vary depending on time that has lapsed since the initial pressure began to rise, the rate of ICP increase, blood pressure, and damage within the compartment. 2 …”

Section: Diagnosismentioning

confidence: 99%

“…Despite this, ACS is one of the most highly litigated conditions in orthopedic surgery with awards as high as 14 million dollars for failure to diagnose and adequately manage ACS. 2, 8 …”

Section: Introductionmentioning

confidence: 99%

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Acute Compartment Syndrome of the Lower Leg: A Review

Pechar¹,

Lyons²

2016

The Journal for Nurse Practitioners

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Acute compartment syndrome (ACS) of the lower leg is a time-sensitive orthopedic emergency that relies heavily on precise clinical findings. Late findings of ACS can lead to limb amputation, contractures, paralysis, multiorgan failure, and death. Hallmark symptoms of ACS include the 6 P’s: pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis. Suspicion of ACS is confirmed by measurement of intracompartmental pressure of the affected compartment. The definitive treatment of ACS is timely fasciotomy. We review the pathophysiology, common causes, diagnosis, and treatment of this potentially devastating condition.

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Section: Common Causes Of Acsmentioning

confidence: 99%

Section: Pathophysiologymentioning

confidence: 99%

Section: Pathophysiologymentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

“…Despite this, ACS is one of the most highly litigated conditions in orthopedic surgery with awards as high as 14 million dollars for failure to diagnose and adequately manage ACS. 2, 8 …”

Section: Introductionmentioning

confidence: 99%

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Acute Compartment Syndrome of the Lower Leg: A Review

Pechar¹,

Lyons²

2016

The Journal for Nurse Practitioners

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Combination of dermatotraction procedure and of the wound therapy, using negative pressure, in treatment of defects after the lower extremity fasciotomy

Zhydkov¹,

Stashek

Ctirad³

2021

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Coping With the Fear of Compartment Syndrome Without Compromising Analgesia: A Narrative Review

Sonawane¹,

Dhamotharan²,

Dixit³

et al. 2022

Cureus

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Pain management in trauma or surgery with a high risk of developing compartment syndrome (CS) is always challenging due to fears of masking symptoms that could delay diagnosis and treatment. Regional anesthesia/analgesia (RA) can facilitate enhanced postoperative recovery and improve patient satisfaction by providing excellent postoperative analgesia. However, its consideration in surgeries with a high risk of developing CS remains controversial and contentious. Studies suggest focusing more on early diagnosis through regular vigilant monitoring with a high index of suspicion rather than discontinuing the analgesic method alone. The most consistent features in all reported cases of CS were altered sensation in the affected limb, disproportionate pain in the presence of a functional nerve block, and an escalating need for analgesics.Several extrinsic or intrinsic factors are responsible for the progressive increase in compartment pressure that can lead to vascular compromise and subsequent ischemic changes in muscles, tissues, and nerves. Measurement of intracompartmental pressure (ICP) has always been considered the gold standard for diagnosing CS. An ICP of 30 mm Hg is considered the cut-off point for fasciotomy that helps restore muscle perfusion and avoid irreversible tissue damage. The chronology of symptoms can sometimes provide clues to the severity of CS, the pathophysiology involved, and the management required. Therefore, it is necessary to look for warning signs, further investigate the causes, and make quick decisions to diagnose and treat CS and its complications on time. Any delay in the diagnosis and treatment of CS can result in high morbidity and poor outcomes. A well-integrated interprofessional team of health professionals can deliver the required complexity of care through a holistic and multidisciplinary approach. This review article highlights the symptoms, risk factors, and pathophysiology involved in CS. It can guide readers in choosing various options to diagnose, prevent, and treat CS. It also discusses the role of RA in patients or surgeries prone to developing CS.

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Compartment Syndrome

Cited by 3 publications

References 101 publications

Acute Compartment Syndrome of the Lower Leg: A Review

Acute Compartment Syndrome of the Lower Leg: A Review

Combination of dermatotraction procedure and of the wound therapy, using negative pressure, in treatment of defects after the lower extremity fasciotomy

Coping With the Fear of Compartment Syndrome Without Compromising Analgesia: A Narrative Review

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