Predicting factors of muscle necrosis in acute compartment syndrome of the lower extremity

Injury ◽  
2020 ◽  
Vol 51 (2) ◽  
pp. 522-526 ◽  
Author(s):  
Sharri J Mortensen ◽  
Dafang Zhang ◽  
Amin Mohamadi ◽  
Jamie Collins ◽  
Michael J Weaver ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Acute Compartment Syndrome ◽  
Predicting Factors ◽  
Muscle Necrosis

Acute Compartment Syndrome of the Lower Extremity: Update on Proper Evaluation and Management

2016 ◽  
Vol 01 (02) ◽  
Author(s):  
Galyfos G ◽  
Gkovas C ◽  
Kerasidis S ◽  
Stamatatos I ◽  
Stefanidis I ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Acute Compartment Syndrome

scholarly journals Acute compartment syndrome: How long before muscle necrosis occurs?

CJEM ◽  
2004 ◽  
Vol 6 (03) ◽  
pp. 147-154 ◽  
Author(s):  
Christian Vaillancourt ◽  
Ian Shrier ◽  
Alain Vandal ◽  
Markus Falk ◽  
Michel Rossignol ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Cohort Analysis ◽  
Acute Compartment Syndrome ◽  
Teaching Hospitals ◽  
Exchange Method ◽  
Historical Cohort ◽  
Interval Censored ◽  
Threatening Condition ◽  
Muscle Necrosis ◽  
Pathology Reports

ABSTRACTObjectives:Acute compartment syndrome (ACS) is a limb-threatening condition often first diagnosed by emergency physicians. Little is known about the rapidity with which permanent damage may occur. Our objective was to estimate the time to muscle necrosis in patients with ACS.Methods:This historical cohort analysis of all patients who had a fasciotomy for ACS was conducted in 4 large teaching hospitals. Diagnosis was confirmed clinically or by needle measurement of compartment pressure. Muscle necrosis was determined using pathology reports and surgeons’ operative protocols. We used descriptive statistics and estimated tissue survival probability using the Vertex exchange method for interval-censored data.Results:Between 1989 and 1997 there were 76 cases of ACS. Most cases occurred in young men (median age 32) as a result of a traumatic incident (82%). Forty-nine percent (37/76) of all patients suffered some level of muscle necrosis, and 30% (11/37) of those with necrosis lost more than 25% of the muscle belly. Necrosis occurred in 2 of 4 cases in which the patient had been operated on within 3 hours of the injury, and our exploratory survival analysis estimates that 37% (95% confidence interval, 13%-51%) of all cases of ACS may develop muscle necrosis within 3 hours of the injury.Conclusions:This is the largest cohort of ACS and the first clinical estimation of time to muscle necrosis ever published. Ischemia from ACS can cause muscle necrosis before the 3-hour period post-trauma that is traditionally considered safe. Further research to identify risk factors associated with the development of early necrosis is necessary.

Acute Compartment Syndrome of the Lower Extremity Secondary to Noncontact Injury

Foot & Ankle ◽  
1993 ◽  
Vol 14 (9) ◽  
pp. 534-537 ◽  
Author(s):  
Ray A. Moyer ◽  
Barry P. Boden ◽  
Paul A. Marchetto ◽  
Frederick Kleinbart ◽  
John D. Kelly
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Ankle Sprain ◽  
Direct Contact ◽  
Acute Compartment Syndrome ◽  
Muscle Strain ◽  
Prolonged Recovery ◽  
High Level

We retrospectively reviewed the cases of three patients with injuries similar to the mechanism of an ankle sprain which resulted in compartment syndrome of the lower extremity. All three patients presented with sharp, proximal, anterolateral pain in the leg after an indirect, twisting injury. None of the injuries involved direct contact. Two of the three athletes initially presented to local hospitals, where the injury was misdiagnosed as an ankle sprain. The mechanism appears to be a muscle strain or tear with resultant hemorrhage in the compartment. All three patients returned to high-level athletics after prolonged recovery periods.

Acute compartment syndrome of the lower extremity following an ankle sprain. A case report

1998 ◽  
Vol 101 (3) ◽  
pp. 232-234 ◽  
Author(s):  
P. Angermann ◽  
C. Hoser ◽  
M. Lutz ◽  
C. Fink ◽  
P. Seykora
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Compartment Syndrome ◽  
Ankle Sprain ◽  
Acute Compartment Syndrome

scholarly journals Acute Compartment Syndrome

2020 ◽  
Vol 63 (3) ◽  
pp. 124-127
Author(s):  
Jana Cepková ◽  
Leoš Ungermann ◽  
Edvard Ehler
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Clinical Findings ◽  
Acute Compartment Syndrome ◽  
Tissue Ischemia ◽  
Chemical Damage ◽  
Frequent Finding ◽  
Muscle Necrosis

Acute compartment syndrome occurs most frequently in connection with injuries, terminal or chemical damage of tissues, ischemia, the activity of toxins or in patients with tissue ischemia or muscle necrosis. Clinical findings have found pronounced pain, followed by paresthesias, pallor, and paresis. Decreased pulsation of arteries has also been a frequent finding. In severe forms decompressive fasciotomy has been indicated within the first 12–24 hours after diagnosis. In the following paper, the authors present the case report of a 68-year woman who swallowed 1500 mg of trazodone as an attempt at suicide. After 12 hours her husband found her lying on the carpet with compression of the left arm under the trunk. The patient was treated conservatively and followed clinically, examined by ultrasonography, EMG and finally MRI.

scholarly journals Comparison of Three Devices to Measure Pressure for Acute Compartment Syndrome

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 77-81
Author(s):  
Geraldine Merle ◽  
Marianne Comeau-Gauthier ◽  
Vahid Tayari ◽  
Mohamad Nizar Kezzo ◽  
Chrouk Kasem ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Rat Model ◽  
Acute Compartment Syndrome ◽  
Intractable Pain ◽  
Simultaneous Measurements ◽  
Muscle Necrosis ◽  
Reference Pressure ◽  
Pressure Changes ◽  
Abdominal Compartment

Abstract Introduction: Acute compartment syndrome (ACS) is a well-recognized and common emergency. Undiagnosed ACS leads to muscle necrosis, limb contracture, intractable pain, and may even result in amputation. Methods: Three devices (Synthes, Stryker, and MY01) were compared in a pre-clinical rat abdominal compartment syndrome simulation. Simultaneous measurements of intracompartmental pressures allowed concurrent comparison among all devices. Results: Large variations from the reference values are seen with the Synthes and Stryker devices. Variances are large in these two devices even under ideal conditions. The MY01 device was the truest indicator of reference pressure in this ACS model (over 600% more accurate). Conclusions: The MY01 device was the most accurate device in tracking pressure changes in this rat model of abdominal compartment syndrome.

Acute compartment syndrome of the lower extremity: an update

2009 ◽  
Vol 23 (6) ◽  
pp. 433-440 ◽  
Author(s):  
Christopher Tzioupis ◽  
George Cox ◽  
Peter V. Giannoudis
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Acute Compartment Syndrome
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