Effectiveness of foot fasciotomies in foot and ankle trauma

Bedigrew, Katherine M.; Stinner, Daniel J.; Kragh, John F; Potter, Benjamin K.; Hsu, Joseph R.

doi:10.1136/jramc-2016-000734

Cited by 9 publications

(6 citation statements)

References 15 publications

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“…No formal diagnostic criteria for neuropathic pain were reported in 5 studies, although 2 mentioned ICD codes relating to causalgia or neuropathic pain. 5 , 59 The S-LANSS tool with the validated cutoff of greater than 12 7 and the PainDETECT questionnaire 31 were used in 1 study each. 10 , 15 …”

Section: Resultsmentioning

confidence: 99%

A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel

Kumar,

Soliman,

Gan

et al. 2023

Pain

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Combat trauma can lead to widespread tissue damage and limb loss. This may result in chronic neuropathic and post amputation pain, including phantom limb pain (PLP) and residual limb pain (RLP). The military population is distinct with respect to demographic, injury, and social characteristics compared with other amputation and trauma cohorts. We undertook a systematic review of studies of military personnel, with a history of combat injury, that reported a prevalence of any type of postamputation pain or chronic neuropathic pain, identified from Embase and MEDLINE databases.Using the inverse variance method with a random-effects model, we undertook a meta-analysis to determine an overall prevalence and performed exploratory analyses to identify the effect of the type of pain, conflict, and time since injury on prevalence. Pain definitions and types of pain measurement tools used in studies were recorded. Thirty-one studies (14,738 participants) were included. The pooled prevalence of PLP, RLP, and chronic neuropathic pain were 57% (95% CI: 46-68), 61% (95% CI: 50-71), and 26% (95% CI: 10-54), respectively. Between-study heterogeneity was high (I2: 94%-98%). Characterisation of duration, frequency, and impact of pain was limited. Factors reported by included studies as being associated with PLP included the presence of RLP and psychological comorbidity. The prevalence of postamputation pain and chronic neuropathic pain after combat trauma is high. We highlight inconsistency of case definitions and terminology for pain and the need for consensus in future research of traumatic injury.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel

Kumar,

Soliman,

Gan

et al. 2023

Pain

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“…The definitive treatment of compartment syndrome is emergent fasciotomy 24 . The goal of surgical treatment is the dissection of the fascia that surrounds the swollen muscle allowing venous circulation to recover 4 .…”

Section: Discussionmentioning

confidence: 99%

Acute compartment syndrome of the foot after an ankle sprain: a case report

Christoforidis¹,

Lepetsos²,

Papadakis³

et al. 2018

JRPMS

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“…Association with vascular injury Treatment Kym et al [7] Pseudoaneurysm of dorsalis pedis artery Yes Surgical decompression, artery repair Dhawan et al [8] Disruption of anterior tibial artery…”

Section: Study Context Of Foot Compartment Syndromementioning

confidence: 99%

An uncommon complication of a common injury: Acute foot compartment syndrome following an ankle sprain: A case report and review of the literature

Otayek,

Assi,

Yammine

2023

Medicine

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Introduction: Acute foot compartment syndrome (FCS) is a rare but potentially devastating complication that can occur following severe trauma of the limbs. In very are cases, such syndrome occurs following minor trauma. We present an exceptional case of acute FCS as a complication of an ankle sprain. Clinical findings: A 32-year-old male patient presented with excruciating foot pain and swelling 48 hours following an ankle sprain. Physical examination revealed severe swelling of the right foot, pale and swollen toes, and tense and pale dorsal skin and severe pain upon passive extension of the toes. Diagnosis: An acute FCS was considered. Intervention and outcomes: The patient underwent a fasciotomy using a double-dorsal incision technique. The patient’s symptoms were controlled, and he was discharged from the hospital 2 days after the surgery. Conclusion: Acute FCS could occur following minor trauma such as an ankle sprain. Early recognition and timely surgical intervention are crucial to prevent severe complications. The diagnosis is primarily clinical and immediate fasciotomy is needed to reduce intracompartment pressure and prevent muscular necrosis and other complications.

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Effectiveness of foot fasciotomies in foot and ankle trauma

Abstract: Fasciotomy of the foot did not prevent neuropathic pain and deformities in patients with FCS in this study.

Cited by 9 publications

References 15 publications

A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel

A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel

Acute compartment syndrome of the foot after an ankle sprain: a case report

An uncommon complication of a common injury: Acute foot compartment syndrome following an ankle sprain: A case report and review of the literature

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