More than 200,000 people in the United States are diagnosed annually with compartment syndrome. This condition is commonly established based on clinical parameters. Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status. A delay in diagnosis and treatment of these injuries can result in significant morbidity. Surgical release of the enveloping fascia remains the acceptable standard treatment for compartment syndrome. This article reviews the evaluation and treatment of compartment syndrome.
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References
1.
McQueenM.M., GastonP., Court-BrownC.M.Acute compartment syndrome: Who is at risk?J Bone Joint Surg Br2000; 82: 200–3.
2.
ClantonT.L., KlawitterP.F.Adaptive responses of skeletal muscle to intermittent hypoxia: The known and the unknown.J Appl Physiol2001; 90: 2476–87.
3.
FlynnS.B., OwenD.A.The effects of histamine on skeletal muscle vasculature in cats.J Physiol1977; 265: 795–807.
4.
OuelletteE.A.Compartment syndromes in obtunded patients.Hand Clin1998; 14: 431–50.
5.
ShakespeareD.T., HendersonN.J.Compartmental pressure changes during calcaneal traction in tibial fractures.J Bone Joint Surg Br1982; 64: 498–9.
6.
PraysonM.J., ChenJ.L., HampersD.Baseline compartment pressure measurements in isolated lower extremity fractures without clinical compartment syndrome.J Trauma2006; 60: 1037–40.
7.
HeckmanM.M., WhitesidesT.E., GreweS.R.Compartment pressure in association with closed tibial fractures. The relationship between tissue pressure, compartment, and the distance from the site of the fracture.J Bone Joint Surg Am1994; 76: 1285–92.
WhitesidesT.E., HeckmanM.M.Acute compartment syndrome: Update on diagnosis and treatment.J Am Acad Orthop Surg1996; 4: 209–18.
16.
HeppenstallR.B., SapegaA.A., ScottR.The compartment syndrome. An experimental and clinical study of muscular energy metabolism using phosphorus nuclear magnetic resonance spectroscopy.Clin Orthop Relat Res1988; 226: 138–55.
17.
HargensA.R., RomineJ.S., SipeJ.C.Peripheral nerve-conduction block by high muscle-compartment pressure.J Bone Joint Surg Am1979; 61: 192–200.
18.
MubarakS., OwenC.A.Compartmental syndrome and its relation to the crush syndrome: A spectrum of disease.Clin Orthop Relat Res1975; 113: 81–9.
19.
GarfinS.R., MubarakS.J., EvansK.L.Quantification of intracompartmental pressure and volume under plaster casts.J Bone Joint Surg Am1981; 63: 449–53.
20.
WeinmannM.Compartment syndrome.Emerg Med Serv2003; 32: 36.
21.
FoucherG., MedinaJ., MalizosK.Percutaneous needle fasciotomy in dupuytren disease.Tech Hand Up Ext Surg2001; 5: 161–4.
22.
SotereanosD.G., McCarthyD.M., TowersJ.D.The pronator quadratus: A distinct forearm space?J Hand Surg1995; 20: 496–9.
23.
DoyleJ.R.Anatomy of the upper extremity muscle compartments.Hand Clin1998; 14: 343–64.
24.
CheneyR.A., MelaragnoP.G., PraysonM.J.Anatomic investigation of the deep posterior compartment of the leg.Foot Ankle Int1998; 19: 98–101.
25.
KeatingJ.F., O'BrienP.I., BlachutP.A.Reamed interlocking intramedullary nailing of open fractures of the tibia.Clin Orthop Relat Res1997; 338: 182–91.
26.
BlickS.S., BrumbackR.J., PokaA.Compartment syndrome in open tibial fractures.J Bone Joint Surg Am1986; 68: 1348–53.
27.
SchwartzJ.T.Jr., BrumbackR.J., LakatosR.Acute compartment syndrome of the thigh. A spectrum of injury.J Bone Joint Surg Am1989; 71: 392–400.