Management of Missed Compartment Syndrome

Lundy, Douglas W.; Bruggers, Jennifer

doi:10.1007/978-3-030-22331-1_11

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…Some of the risk factors for non-traumatic ACS include exertional exercises, vascular surgery, blood clots, and prolonged compression of limbs [ 14 ]. Regardless of the mechanisms, both traumatic and non-traumatic presentations of ACS may lead to multiple systems involvement, including muscular, neurologic, and renal [ 15 ]. In the worst-case scenario, compartment syndrome may result in limb amputation.…”

Section: Discussionmentioning

confidence: 99%

Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome

Bernal

Torres-Reverón

González³

2021

Cureus

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Acute compartment syndrome (ACS) is a medical emergency that remains under-recognized and understudied. This study aimed to identify risk factors for the traumatic and non-traumatic presentation of ACS within a majority Hispanic population. A four-year retrospective analysis of medical records in a single institution revealed 26 with traumatic and 21 non-traumatic patients presenting with ACS. Traumatic ACS occurred in younger males following fractures, as previously described in the field. After controlling for age differences, non-traumatic ACS occurred in older patients with multiple comorbidities, increased use of statins, and anticoagulants as compared to the traumatic ACS group. A large proportion (80%) of the non-traumatic ACS group also presented with hypertension. Patients taking anticoagulants and statins should be carefully monitored for ACS development after non-traumatic qualifying events and advanced age. Further studies should identify how statins interact with the patients' racial/ethnic profile and the incidence of comorbidities to promote earlier identification and reduce morbidities.

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Section: Discussionmentioning

confidence: 99%

Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome

Bernal

Torres-Reverón

González³

2021

Cureus

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“…The foot compartment syndrome linked with extensive calcaneal fractures is an intriguing injury pattern. Some surgeons believe that treating foot compartment syndromes operatively is actually sometimes worse than the syndrome's consequences [44]. That's why simple treatment measures in ACS include loosening ace wraps, compression dressings, splints, and uni-or bivalving casts where safe and practical.…”

Section: Non-operativementioning

confidence: 99%

Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Albalawi

AlBaltan

Alzahrani³

et al. 2021

JPRI

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The study aimed to summarize the updated evidence regards, Etiology, Diagnosis and Management of Acute compartment syndrome. Acute compartment syndrome (ACS) is a condition in which pressure builds up inside a closed osteofascial compartment, impairing local circulation. Early diagnosis and treatment are credited with the best outcomes following Acute Compartment Syndrome. The severity of compartment syndrome varies from mild to severe. Fasciotomies should be performed very soon if the patient have acute compartment syndrome. The treatment of late compartment syndrome (delayed or missing diagnosis) is more problematic. Long duration of acute compartment syndrome without treatment can cause irreversible damage that’s why early intervention is a must, non-operative measurement is preferred if possible, to prevent any surgical complications, however if surgery is needed it must be performed with Two-incision fasciotomy being the most used method.

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“…But unlike ATCS, which is related to a traumatic incident and often has a clear diagnosis, AECS is a diagnosis of exclusion, which requires physicians to maintain a high index of suspicion when evaluating patients. Unfortunately, AECS is often misdiagnosed, leading to many cases of irreparable harm that could have been prevented [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Upper-Extremity Acute Exertional Compartment Syndrome: A Case Report

Parhar,

Frolov,

Dolgov

et al. 2024

jocr

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Introduction: Acute exertional compartment syndrome (AECS) is a condition with the potential for devastating outcomes if not promptly treated. Physicians must maintain a high index of suspicion when evaluating patients presenting with pain, swelling, decreased range of motion, and numbness within a muscle compartment. However, AECS is frequently misdiagnosed due to a multitude of factors, leading to a delay in treatment. In this case report, we would like to shed light on a rare case of bilateral upper-extremity AECS and suggest the treatment paradigm we believe will help prevent negative outcomes. Case Presentation: A previously healthy 33-year-old male presented with bilateral weakness, tingling, tenderness, swelling, and pain upon movement in the trapezius and deltoid muscles. The symptoms started after he performed “burpees” for 18 h following a 12-h forest-fire firefighting shift. The patient’s rapidly developing clinical presentation warranted compartmental pressure checks for suspicion of AECS. Being able to quickly determine the elevated trapezius, deltoid, and supraspinatus compartmental pressures allowed us to perform immediate bilateral fasciotomies with delayed primary closure to relieve compartment pressure. Conclusion: The delay in treatment for patients presenting with AECS is multifactorial and may lead to devastating outcomes if not promptly addressed. The lack of literature regarding bilateral upper-extremity AECS makes the treatment for this condition even more difficult. For our patient, having a proper criterion for performing compartmental pressure checks played a vital role in ensuring an accurate diagnosis and timely medical intervention. Keywords:Compartment syndrome, acute compartment syndrome, acute exertional compartment syndrome, fasciotomy.

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Management of Missed Compartment Syndrome

Cited by 6 publications

References 16 publications

Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome

Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome

Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Bilateral Upper-Extremity Acute Exertional Compartment Syndrome: A Case Report

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