Compartment Syndrome

Dr Swapnil Pawar June 14, 2021 127

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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