![]() Absolute compartment pressure versus differential pressure for the diagnosis of compartment syndrome in tibial fractures. What's new in acute compartment syndrome? J Orthop Trauma. Compartment syndrome: diagnosis, management, and unique concerns in the twenty-first century. Do one-time intracompartmental pressure measurements have a high false-positive rate in diagnosing compartment syndrome? J Trauma. Oxygen transport in the microcirculation and its regulation. Compartment syndromes of the forearm: diagnosis and treatment. Gelberman RH, Garfin SR, Hergenroeder PT, et al. The effect of increased tissue pressure on blood flow. Current concepts in the pathophysiology, evaluation, and diagnosis of compartment syndrome. The pathophysiology of the anterior tibial compartment syndrome: an experimental investigation. Tissue pressure and perfusion in the compartment syndrome. Baseline compartment pressure measurements in isolated lower extremity fractures without clinical compartment syndrome. Comparison of tissue oxygenation and compartment pressure following tibia fracture. Fasciotomy in the treatment of the acute compartment syndrome. This chapter reviews (i) the mechanism by which an ACS develops, (ii) the various clinical scenarios that have been associated with the development of an ACS, and (iii) most importantly the clinical findings that are typically associated with an ACS, and (iv) the various muscle compartments throughout the body and how best to surgically decompress each in an effort to minimize the potential damage from an ACS. Early identification of a developing ACS allows timely and effective treatment which can minimize tissue damage and maximize outcomes. Certainly, every orthopedic surgeon and any physician likely to come into contact with a patient suffering an ACS should be familiar with the different clinical scenarios and presentations that have been associated ACS and be familiar with means to make a diagnosis of an ACS or consult others more familiar with the condition. Although fasciotomies are not without risks and complications, they are the only effective recognized treatment for an ACS. It is important to remember “time is tissue” and “a chance to cut, is a chance to cure” in the treatment of an ACS. The definitive treatment for an ACS is fasciotomies of the involved muscle compartments to restore normal intra-compartment tissue pressures and re-establish normal blood flow. Once the diagnosis of an ACS is established or strongly suspected, treatment must be initiated without delay. Vigilance comes from understanding that there are many possible-initiating factors for ACS and early diagnosis and treatment depend upon a thorough understanding of the sometimes-subtle symptomatology of a developing, or established ACS. ![]() ![]() Vigilance, early recognition, and definitive diagnosis of an ACS are essential for successful treatment of this pathologic process. The common pathway leading to the development of an ACS is increased intercompartmental pressures resulting in compromised blood flow, muscle and nerve ischemia, and potential muscle and nerve necrosis. Acute compartment syndrome (ACS) is a potentially devastating development typically following trauma but may occur following atraumatic events and even as a result of patient positioning during surgery. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |