Lower extremity compartment syndrome

Trauma Surgery & Acute Care Open
Jennifer Cone, Kenji Inaba

Abstract

Lower extremity compartment syndrome is a devastating complication if not rapidly diagnosed and properly managed. The classic symptoms of compartment syndrome can be deceiving as they occur late. Any concern for compartment syndrome based on mechanism, or the presence of pain in the affected extremity, should prompt a compartment pressure check. Both absolute compartment pressures above 30 mm Hg and a pressure differential of less than 30 mm Hg are used to make the diagnosis. The treatment goal is first to save the patient's life and second to salvage the affected limb. Fasciotomy is the only accepted treatment of compartment syndrome and should be performed quickly after the diagnosis is made. Outcomes after fasciotomy are best when there is no delay in treatment.

References

Nov 11, 1975·Archives of Surgery·T E WhitesidesK Morimoto
Nov 1, 1975·Clinical Orthopaedics and Related Research·T E WhitesidesH Harada
Jan 1, 1989·The Journal of Trauma·J G WrightD E Hastings
Dec 1, 1988·American Journal of Surgery·D V FelicianoK L Mattox
Mar 1, 1997·World Journal of Surgery·G C VelmahosB M Stewart
Feb 7, 2001·The Journal of Bone and Joint Surgery. British Volume·M M McQueenC M Court-Brown
Nov 19, 2002·The Journal of Trauma·Lorraine N TremblayGrace S Rozycki
Dec 17, 2003·The Journal of Trauma·Timothy O WhiteMargaret M McQueen
Nov 19, 1949·Lancet·A B CARTERR B ZACHARY
May 4, 2005·The International Journal of Lower Extremity Wounds·Kaushik Bhattacharya, A Neela Catherine
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Antony R Boody, Montri D Wongworawat
Apr 17, 2007·CJEM·Christian VaillancourtDan Somogyi
Apr 11, 2008·The Journal of Trauma·Amber E RitenourJohn B Holcomb
Feb 11, 2009·Injury·S BadheD Calthorpe
Feb 28, 2009·American Journal of Surgery·Richard P GonzalezCharles B Rodning
Sep 9, 2009·Current Problems in Surgery·Christopher J DenteDavid V Feliciano
Aug 28, 2010·Critical Care Medicine·Zsolt J Balogh, Nerida E Butcher
Mar 22, 1941·British Medical Journal·E G Bywaters, D Beall
Sep 16, 2011·Journal of Orthopaedic Trauma·E Mark HammerbergJohn G Seiler
Nov 11, 2011·The Journal of Trauma·Thomas MeskeyRobert V O'Toole
Apr 19, 2013·The Journal of Bone and Joint Surgery. American Volume·Margaret M McQueenCharles M Court-Brown
May 25, 2013·The American Journal of Emergency Medicine·Chun-Yu ChenHan-Ping Wu
Jul 30, 2014·The Open Orthopaedics Journal·James DonaldsonWasim S Khan
Dec 24, 2014·Journal of Orthopaedic Trauma·Michael J WeaverMitchel B Harris
Mar 19, 2015·Annals of Plastic Surgery·Wei-Hsuan TsaiYen-Yi Ho
Oct 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M M McQueen, A D Duckworth
Jun 23, 2016·Journal of Orthopaedic Trauma·Nabil A EbraheimCraig Raberding
Jul 5, 2016·Journal of Visceral Surgery·C OwenC Honoré
Oct 11, 2016·International Journal of Critical Illness and Injury Science·Loreto Lollo, Andreas Grabinsky
Mar 23, 2017·Journal of Orthopaedic Trauma·Andrew H SchmidtUNKNOWN METRC

❮ Previous
Next ❯

Citations

Mar 14, 2019·The Nurse Practitioner·Margaret Meyer Harding
Sep 26, 2020·Patient Safety in Surgery·Rami KhalifaAmr Abdelgawad
Nov 25, 2020·Aesthetic Surgery Journal·Igor Niechajev
Oct 23, 2020·World Journal of Emergency Surgery : WJES·Federico CoccoliniMassimo Chiarugi
Jan 8, 2021·Orthopedic Research and Reviews·Matthew W KonigsbergR Kumar Kadiyala

❮ Previous
Next ❯

Methods Mentioned

BETA
amputation

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.