Out-of-Hospital Lateral Canthotomy and Cantholysis: A Case Series and Screening Tool for Identification of Orbital Compartment Syndrome

2018 ◽  
Vol 37 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Robert Whitford ◽  
Sara Continenza ◽  
Jeremy Liebman ◽  
Jason Peng ◽  
Elizabeth K. Powell ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Screening Tool ◽  
Case Series ◽  
Lateral Canthotomy

scholarly journals Traumatic Orbital Compartment Syndrome: A Sight Threatening Emergency

2019 ◽  
Vol 11 (1) ◽  
pp. 91-97
Author(s):  
Kinsuk Singh ◽  
Gulshan Bahadur Shrestha
Keyword(s):  
Emergency Department ◽  
Compartment Syndrome ◽  
Clinical Diagnosis ◽  
Surgical Intervention ◽  
Case Series ◽  
University Teaching ◽  
Orbital Trauma ◽  
Rare Presentation ◽  
Lateral Canthotomy ◽  
Made In

Orbital compartment syndrome is a rare presentation of orbital trauma and is an ophthalmic emergency. Delay in clinical diagnosis and subsequent surgical intervention will lead to loss of vision in nick of time. We presented a case series of orbital compartment syndrome secondary to trauma who presented to the emergency department of Tribhuvan University Teaching Hospital during the devastating earthquake in April 2015. Clinical diagnosis of orbital compartment syndrome was made in the bedside and all the patients underwent emergency lateral canthotomy and inferior cantholysis. This case series was aimed to describe clinical features and management of orbital compartment syndrome.

scholarly journals Acute Exertional Compartment Syndrome: A Case Series and Review of the Literature

2021 ◽  
pp. 100040
Author(s):  
Matthew Griffith ◽  
Joshua Hattaway ◽  
Ryan Griffith ◽  
Frederick O'Brien ◽  
Jeannie Huh
Keyword(s):  
Compartment Syndrome ◽  
Case Series ◽  
Review Of The Literature ◽  
Exertional Compartment Syndrome

scholarly journals Early morbidity associated with fasciotomies for acute compartment syndrome in children

2018 ◽  
Vol 12 (5) ◽  
pp. 480-487 ◽  
Author(s):  
K. B. L. Lim ◽  
T. Laine ◽  
J. Y. Chooi ◽  
W. K. Lye ◽  
B. J. Y. Lee ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Compartment Syndrome ◽  
Wound Closure ◽  
Case Series ◽  
Skin Grafting ◽  
Acute Compartment Syndrome ◽  
Inpatient Stay ◽  
Wound Infections ◽  
Short Term ◽  
Level Of Evidence

Purpose Acute compartment syndrome (ACS) requires urgent fasciotomy to decompress the relevant muscle compartment/s prior to onset of irreversible myonecrosis and nerve injury. A fasciotomy is not a benign procedure. This study aims to describe and quantify early morbidity directly associated with fasciotomies for ACS in children. Methods Clinical charts of 104 children who underwent 112 fasciotomies over a 13-year period at a tertiary children’s hospital were reviewed. The following were analyzed: ACS aetiology, fasciotomy site, number of subsequent procedures, method of wound closure, short-term complications and length of hospital stay. Results Short-term complications included wound infections (6.7%) and the need for blood transfusion (7.7%). Median number of additional operations for wound closure was two (0 to 10) and median inpatient stay was 12 days (3 to 63; SD 11.7). After three unsuccessful attempts at primary closure, likelihood of needing skin grafting for coverage exceeded 80%. Analyses showed that fasciotomy-wound infections were associated with higher risk for four or more closure procedures. Number of procedures required for wound closure correlated with longer inpatient stay as did ACS associated with non-orthopaedic causes. Conclusion Fasciotomy is associated with significant early morbidity, the need for multiple closure operations, and prolonged hospital stay. The decision for fasciotomy needs careful consideration to avoid unnecessary fasciotomies, without increasing the risk of permanent injury from missed or delayed diagnosis. Skin grafting should be considered after three unsuccessful closure attempts. Less invasive tests or continuous monitoring (for high-risk patients) for compartment syndrome may help reduce unnecessary fasciotomies. Level of Evidence Level IV, Case series

scholarly journals TRADITIONAL BONESETTERS

2016 ◽  
Vol 23 (06) ◽  
pp. 699-704
Author(s):  
Waqar Alam ◽  
Faaiz Ali Shah ◽  
Ashfaq Ahmed ◽  
Saeed Ahmad ◽  
Abdullah Shah
Keyword(s):  
Compartment Syndrome ◽  
Study Design ◽  
Low Cost ◽  
Cultural Beliefs ◽  
Case Series ◽  
Non Union ◽  
Appropriate Treatment ◽  
Accident And Emergency ◽  
Set Up ◽  
Study District

Objectives: To analyze the reasons for treatment by Traditional Bone Setters(TBS) and the frequency of complications in patients treated by traditional bone setters in our setup. Study Design: Descriptive case series. Place and Duration of Study: District HeadquarterHospital (DHQ) Temargarah & Lady Reading Hospital Peshawar and, Ghurki Trust TeachingHospital, Lahore from Dec 2014 to Nov 2015. Material and Methods: Patients of either genderor all ages received in outpatient department or accident and emergency of DHQ Temargarah,Lady Reading Hospital Peshawar and Ghurki Trust Teaching Hospital, Lahore with history oftrauma followed by treatment by local bonesetters were included in our study. After properhistory, examinations and investigations, appropriate treatment were given and complicationswere noted. Results: We received a total of 267 patients who were treated by Traditional bonesetters.186 were males and 81 were females. Age ranges from 1.5 years to 87 years. In majorityAdvice or pressure from family/friends taking the lead. 77(28.84%) of patients suffer because offamily or friends. 66(24.72%) of patients affected because of socio cultural beliefs, 46(17.23%)because of low cost, 35(13.11%) because of ignorance, 24(8.98%) because of fear of operation,19(7.12%) because of fear of amputation took their treatment from bone setters. The mostfrequent complication we received was malunion were found in 67(25.10%) and non-union in55(20.60%), Conclusion: Pressure from friends and family was the main reason for consultingTraditional Bone Setters for treatment in our set up and complications caused by their treatmentwere frequent and ranged from immediate compartment syndrome and gangrene of the limb tolate onset mal union, non-union and avascular non-union.

scholarly journals A Pain in the Butt: A Case Series of Gluteal Compartment Syndrome

2021 ◽  
Vol 2 (5) ◽  
pp. 144-147
Author(s):  
Jessica Jackson ◽  
Kraftin Schreyer
Keyword(s):  
Compartment Syndrome ◽  
Clinical Presentation ◽  
Case Series ◽  
Morbidity And Mortality ◽  
Emergency Physicians ◽  
Laboratory Findings ◽  
Diagnosis And Management ◽  
Gluteal Compartment Syndrome

Introduction: Gluteal compartment syndrome is a rare and difficult-to-diagnose form of compartment syndrome. Case Series: We present three patients with gluteal compartment syndrome and review the clinical presentation, imaging, and laboratory findings that assist in diagnosis. Suggestions for more readily diagnosing gluteal compartment syndrome are provided. Conclusion: Emergency physicians must be familiar with the diagnosis and management of gluteal compartment syndrome to prevent the significant associated morbidity and mortality.

scholarly journals Avoidable Compartment Syndrome! High Index of Suspicion for a Newly Presenting Haemophiliac: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
A. Niblock ◽  
K. Donnelly ◽  
F. Sayers ◽  
P. Winter ◽  
G. Benson
Keyword(s):  
Compartment Syndrome ◽  
Spontaneous Mutation ◽  
Case Series ◽  
Acute Phase Reactant ◽  
High Index ◽  
Specific Factor ◽  
Bleeding Disorders ◽  
Phase Reactant ◽  
Prolonged Aptt ◽  
High Index Of Suspicion

Bleeding disorders can present at any age and vary in their severity. Haemophilia, which is characterised by its x-linked recessive inheritance, can present with a spontaneous mutation and therefore no family history will be evident. Three cases of trauma induced thigh haematomas as an initial presenting feature for people with haemophilia are discussed. The cases highlight the importance of a coagulation screen if the patients bleeding phenotype does not match the injury sustained. An isolated prolonged APTT with no offending anticoagulant cause should always be investigated to look for underlying haemophilia. Interestingly the cases demonstrate the limitations of a coagulation screen. Factor VIII being an acute phase reactant can result in the fact that the initial coagulation screen may be temporarily normal. Therefore, if there is a high index of suspicion for a bleeding disorder, consider repeating the coagulation screen and seeking haematology opinion. Early diagnosis and appropriate specific factor replacement for an injured haemophiliac prevent haematomas expanding thus avoiding potential complications like compartment syndrome or unnecessary surgical input.

scholarly journals Lateral Canthotomy and Cantholysis: Emergency Management of Orbital Compartment Syndrome

2015 ◽  
Vol 48 (3) ◽  
pp. 325-330 ◽  
Author(s):  
Adam D. Rowh ◽  
Jacob W. Ufberg ◽  
Theodore C. Chan ◽  
Gary M. Vilke ◽  
Richard A. Harrigan
Keyword(s):  
Emergency Management ◽  
Compartment Syndrome ◽  
Lateral Canthotomy

scholarly journals Emergency lateral canthotomy and cantholysis to relieve intraocular pressure following severe motor vehicle collision

2017 ◽  
Vol 86 (1) ◽  
pp. 49-51
Author(s):  
Jason L Elzinga ◽  
Herman Bami
Keyword(s):  
Medical Education ◽  
Intraocular Pressure ◽  
Compartment Syndrome ◽  
Motor Vehicle ◽  
Trauma Team ◽  
Motor Vehicle Collision ◽  
Telephone Consultation ◽  
Education Resources ◽  
Vehicle Collision ◽  
Lateral Canthotomy

A young woman displayed a dilated and fixed pupil following a motor vehicle collision with blunt force trauma to face. This was associated with drastically elevated intraocular pressure and proptosis. It was believed that a retrobulbar bleed was causing ocular compartment syndrome, an ischemic condition whereby elevated pressure within the orbit occludes blood flow to the retina and ocular nerves. This is a rare ocular emergency, and must be promptly treated to prevent permanent damage. Ophthalmology was consulted by telephone to confirm the diagnosis and direct treatment. A lateral canthotomy and cantholysis was performed under guidance from Ophthalmology and free open access medical education resources. The trauma team managed to save the eye, with visual acuity remaining near normal. In this report, the mechanism of orbital compartment syndrome is explained, and the lateral canthotomy and cantholysis procedure is outlined. This case highlights the importance of telephone consultation and easily accessible medical education resources in the acute care of rare conditions that may arise following trauma.

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