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Compartment Syndrome

Dr Swapnil Pawar June 14, 2021 28


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    Compartment Syndrome
    Dr Swapnil Pawar

Compartment Syndrome

Written By – Dr Hyreim Suh

Risk factors

Severe trauma such as long bone fracture or crush injury

Prolonged ischemia with reperfusion

Haematoma

Burns

Clinical features

Pain out of proportion to the injury

Tense compartment

Pain on passive flexion

Paraesthesia, numbness, weakness

Assessment

Remove casts

Reduce fracture

Obtain pressure measurements

Bloods including EUC and CK

Management

Early fasciotomy, ideally within 4-6 hours of symptoms onset

Figure 1. Compartments of the lower leg

References

Stracciolini, Hammerbeg, Acute compartment syndrome of the extremities, 2021 UpToDate

 

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