scholarly journals Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
José Maria Pereira de Godoy ◽  
Maria de Fátima Guerreiro Godoy
Keyword(s):  
Compartment Syndrome ◽  
Therapeutic Option ◽  
Venous Drainage ◽  
Burning Sensation ◽  
Lower Limbs ◽  
Arterial Embolism ◽  
Anterior Compartment ◽  
Slight Pain ◽  
The Right ◽  
Sole Of The Foot

The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments. Treatment using intermittent massage of the leg during the evaluation of the patient was chosen in an attempt to stimulate lymphatic and venous drainage. After a few minutes of stimulation, there was significant improvement in the pain and edema. In 40 minutes, there was total reduction of the pain in the posterior and lateral compartments and improvement of over 50% in the anterior compartment. After this, the patient started to bend the knee without pain and bend the sole of the foot with slight pain. On the following day, the patient was walking around the hospital ward without difficulty. It seems that intermittent massage is a therapeutic option in selected cases of compartment syndrome.

Radionuclide Venography by Subcutaneous Injection of Tc-99m Pertechnetate at Acupuncture Point K-3: A Case Report

1994 ◽  
Vol 22 (03n04) ◽  
pp. 337-340 ◽  
Author(s):  
Ming-Feng Chen ◽  
Chung-Chieng Wu ◽  
Shiang-Bin Jong ◽  
Chun-Ching Lin
Keyword(s):  
Subcutaneous Injection ◽  
Varicose Veins ◽  
Acupuncture Point ◽  
Venous Drainage ◽  
Lower Limbs ◽  
Acupuncture Points ◽  
Collateral Flow ◽  
Left Lower Extremity ◽  
The Right ◽  
Radionuclide Venography

Recently, we developed a new method of radionuclide venography of lower limbs, namely SC-RNV, by subcutaneous injection of Tc-99m pertechnetate at acupuncture points K-3. In this study, we applied this method to evaluate the venous drainage of lower limbs in a patient with severe varicose veins and edematous swelling of the left lower extremity. For comparison, an ascending radionuclide venography by intravenous injection of Tc-99m MAA (IV-RNV) was also done. The SC-RNV showed normal venous drainage of the right side but complete obstruction of the left popliteal vein with a prominent collateral flow, compatible to the findings of IV-RNV. The findings in this case again demonstrated that SC-RNV may be useful as an alternative method of venography as previously suggested.

scholarly journals Brachial muscle injury resulting in acute compartment syndrome of the upper arm: a case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Lei Tan ◽  
Yongning Xia ◽  
Zilong Su ◽  
Qiangqiang Wen ◽  
Jiting Zhang ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Muscle Injury ◽  
Acute Compartment Syndrome ◽  
Anterolateral Approach ◽  
Upper Arm ◽  
Anterior Compartment ◽  
Case Presentation ◽  
Missed Diagnosis ◽  
The Right ◽  
Emergency Operating

Abstract Background Acute compartment syndrome (ACS) is a potentially devastating condition. ACS is rare in the upper arm. Case presentation We report a case of acute compartment syndrome of the anterior compartment of the upper arm due to brachial muscle injury. The patient experienced abnormal progressive swelling and pain in his right upper arm, and passive pulling pain of the right wrist and right hand. It was highly suspected to be right upper arm compartment syndrome, and was confirmed by surgery. The patient transferred to the emergency operating room for fasciotomy that was performed under general anesthesia using the anterolateral approach. The brachial muscle was found to be heavily swollen and had the greatest tension. The brachial muscle fibers were split lengthwise, and a large amount of hematoma was cleared. The brachial muscles were injured and partly ruptured. After full decompression, a negative pressure drainage device was used to cover the wound in the first stage. Ten days after injury, the swelling of the affected limb subsided and the wound was sutured. The patient’s limbs completely recovered to normal. The shoulder and elbow joints could move freely and the patient resumed normal farming work ability. Conclusion Clinicians should fully recognize the fact that acute compartment syndrome can occur in the upper arm, rather than only the forearm and leg, and therefore avoid serious consequences caused by missed diagnosis and misdiagnosis.

scholarly journals Lateralidad de miembro inferior y su relación con la distribución de las presiones plantares en el equilibrio estático (Laterality of lower limbs and relationship with the plantar pressure distribution in the static balance)

Retos ◽  
2015 ◽  
pp. 5-8
Author(s):  
Carmen Mayolas Pi ◽  
Adoración Villarroya Aparicio ◽  
Joaquín Reverter Masia
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Lower Limbs ◽  
Static Balance ◽  
Lateral Preference ◽  
Plantar Pressures ◽  
Left Limb ◽  
The Individual ◽  
The Right ◽  
Sole Of The Foot

La distribución de las cargas durante la marcha se ha valorado en muchos estudios, en algunos de los cuales se ha observado la influencia de la lateralidad del individuo en esta distribución. Sin embargo, en estático se han realizado pocos estudios que valoran las posibles causas de una distribución no equitativa de las cargas, algunos según la visión o no del espacio colindante y según la influencia de la lateralidad visual. En nuestro estudio vamos a observar si influye la preferencia lateral del miembro inferior en la distribución de la carga en la planta del pie, utilizando tres pruebas para valorar la dominancia lateral: chute con precisión, equilibrio dinámico y equilibrio estático (Maupas y cols., 2002). Según nuestros resultados, la preferencia lateral de miembro inferior no influye de forma significativa en la distribución de las cargas en la planta del pie, sin embargo, observamos una tendencia a que aumente la carga del miembro izquierdo en los diestros (según las pruebas de equilibrio dinámico y chute con precisión) y en el miembro derecho en los zurdos.Palabra clave: lateralidad, presiones plantares, equilibrio estático, test lateralidad.Abstract: The distribution of loads during gait has been evaluated in many studies, some of which have been seen to influence the handedness of the individual in this distribution. However, in the static pool, several studies have been carried out which assess the possible causes of inequitable distribution of the charges, some according to the vision or adjoining space and according to influence of visual laterality. In our study we will observe the influence of the lateral lower limb preference in the distribution of the load on the sole of the foot, using three tests to assess the lateral dominance: shoot with precision, dynamic balance and static balance (Maupas et al. 2002). According to our results, lower limb lateral preference does not influence significantly the distribution of charges in the sole of the foot, however, we observe a tendency to increase the load/weight on the left limb in righthanded people (according to tests of balance dynamic and precision shot) and on the right limb in left handed people.Key words: laterality, plantar pressures, static balance, laterality test.

A Man with Simultaneous Occurrence of Acute Lower Extremity Arterial Embolization and Acute Myocardial Infarction: A Case Report

2020 ◽  
Author(s):  
Liangyuan Lu ◽  
Yanyan Xue ◽  
Yalei Han ◽  
Tongxin Bao ◽  
Jing Xue ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Lower Extremity ◽  
Arterial Embolization ◽  
Lower Limbs ◽  
Simultaneous Occurrence ◽  
Arterial Embolism ◽  
Multiple Organs ◽  
History Of ◽  
The Right

Abstract Background: Spontaneous co-occurrence of acute myocardial infarction (AMI) and acute lower extremity arterial embolism (ALEAE) has rarely been reported.Case presentation: A 44-year-old male with a history of 4 years of type1 diabetes was admitted to hospital when he suddenly experienced severe pain in his right lower limb and felt tightness in the left anterior chest area. Ultrasonography revealed distal occlusion of the right superficial femoral artery. ECG showed acute anterior interstitial myocardial infarction. After conservative treatment for 2 days, the patient had severe necrosis of lower limbs and secondary injury of multiple organs. Hemodialysis and heparin anticoagulant therapy were performed before amputation. Twelve days after the operation, the patient's condition was stable and he was transferred out of ICU.Conclusions: Emergency amputation and multidisciplinary approaches may offer a chance for survival if patents lost the opportunity for early treatment.

scholarly journals Traumatic Rupture and Herniation of the Peroneus Tertius Muscle Leading to Compartment Syndrome and Entrapment of the Superficial Peroneal Nerve: A Case Report

2021 ◽  
Vol 07 (03) ◽  
pp. e154-e157
Author(s):  
Jussi Repo ◽  
Mikko Ovaska ◽  
Eetu N. Suominen ◽  
Henrik Sandelin ◽  
Jani Puhakka
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Peroneal Nerve ◽  
Anatomical Variations ◽  
Traumatic Rupture ◽  
Lateral Part ◽  
Superficial Peroneal Nerve ◽  
Operating Theater ◽  
Anterior Compartment ◽  
The Right

AbstractWe present a patient with compartment syndrome and entrapment of the superficial peroneal nerve due to a direct hit to the lateral part of the right lower extremity. The diagnosis of evolving compartment syndrome was made without delay and the patient was quickly taken to the operating theater. Intraoperatively, the entrapment of the superficial peroneal nerve caused by rupture and herniation of the peroneus tertius muscle was surprisingly observed at the site, where the nerve pierces the anterior compartment. The nerve was successfully released in conjunction with fasciotomies of the anterior and lateral compartments. Meticulous diagnosis of compartment syndrome is critical to prevent ischemic injury to muscles and nerves. Recognition of anatomy and anatomical variations is important to prevent iatrogenic injury in unusual circumstances.

Adult-to-Adult Living-Donor Liver Transplantation

Swiss Surgery ◽  
2003 ◽  
Vol 9 (5) ◽  
pp. 227-236 ◽  
Author(s):  
Majno ◽  
Mentha ◽  
Berney ◽  
Bühler ◽  
Giostra ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Therapeutic Option ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Multidisciplinary Program ◽  
First Case ◽  
Living Donor Transplantation ◽  
The Right

Living donor liver transplantation is a relatively new procedure in which the right side of the liver is harvested in a healthy donor and transplanted into a recipient. After the first case in 1994, over 3000 cases have been done worldwide. This review summarizes the reasons why the procedure is needed, describes its main technical aspects, highlights the boundaries in which it can be done safely, summarizes the current experience worldwide and describes the main points of the program in our unit. We argue that living-donor transplantation is a viable alternative to a long time on the waiting list for several patients, and it can be performed safely and successfully provided that all precautions are undertaken to minimize the risks in the donor and to increase the chances of a good outcome in the recipients. If these prerequisites are met, and within the framework of a structured multidisciplinary program, we believe that living-donor liver transplantation should be funded by health insurances as a recognized therapeutic option.

Off-Pump Supraarterial Decompression Myotomy for Myocardial Bridging

2005 ◽  
Vol 8 (1) ◽  
pp. 49 ◽  
Author(s):  
Mersa M. Baryalei ◽  
Theodorus Tirilomis ◽  
Wolfgang Buhre ◽  
Stephan Kazmaier ◽  
Friedrich A. Schoendube ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Exercise Testing ◽  
Clinical Symptoms ◽  
Therapeutic Option ◽  
Median Sternotomy ◽  
Myocardial Bridging ◽  
Off Pump ◽  
Hemodynamic Compromise ◽  
Artery Disease ◽  
The Right

Background: Myocardial bridging of the left anterior descending (LAD) artery may result in clinical symptoms. Surgery with cardiopulmonary bypass (CPB) is a therapeutic option with considerable risk. We hypothesized that off-pump supraarterial myotomy could be an effective treatment modality. Methods: Between October 1998 and May 2000, 13 patients were referred for surgery. All were symptomatic despite medical therapy. Anteroseptal ischemia had been proven by thallium scintigraphy in all 13 patients, exercise testing was positive in 11. All patients were operated on with an off-pump approach after median sternotomy. Results: Mean patient age was 61 8 years (range, 43-71 years). Coronary artery disease mandating additional bypasses was present in 3 patients. The bypasses were done off pump in 2 patients. Conversion to on-pump surgery was necessary in 3 of 13 patients (23%) because of hemodynamic compromise (1 patient), opening of the right ventricle (1 patient), and injury to the LAD (1 patient). Supraarterial myotomy was performed in all patients. One patient who underwent surgery with CPB developed postoperative anteroseptal myocardial infarction. Postoperative exercise testing was performed in all patients and did not reveal any persistent ischemia. Mortality was 0%. All patients were free from symptoms and had not undergone repeat interventions after an average of 51 7 months of follow-up. Conclusions: Off-pump supraarterial myotomy effectively relieves coronary obstruction but has a certain periprocedural risk as evidenced by 1 myocardial infarction, 1 right ventricular injury, and 1 LAD injury. Long-term freedom from symptoms and from reintervention favor further investigation of this surgical therapy.

scholarly journals Compartment Syndrome: an Acute Femoral Stress Fracture in a Young Male Athlete

2021 ◽  
Author(s):  
Amelie Kanovsky ◽  
Ernst J. Mueller
Keyword(s):  
Compartment Syndrome ◽  
Muscle Mass ◽  
Stress Fracture ◽  
Acute Stress ◽  
Young Male ◽  
Young Males ◽  
Fatigued Muscle ◽  
Fracture Osteosynthesis ◽  
Initial Fracture ◽  
The Right

AbstractThe incidence of an acute compartment syndrome (ACS) of the thigh is less than 1%. It is most common in the setting of muscle overuse or muscle injury, as well as secondary to trauma, such as a femoral fracture. We present a case of an ACS in a young, healthy, and semiprofessional athlete with normal coagulation who sustained an acute stress fracture of the distal femur. After the initial fracture osteosynthesis, the patient suffered from a compartment syndrome in the right anterior aspect of the distal thigh. Following rapid surgical fasciotomy, the case was uneventful, and he returned to his preinjury sport level without any neurological consequences. This case confirms that ACS in the thigh is rare, but mainly occurs in young males with a large muscle mass due to participation in various athletic programs. We hypothesize that constant muscle over-usage primes for a larger amount of contused and protruding muscle mass in the small femoral compartment. Hence, the fatigued muscle subjects the bone to an increased mechanical force resulting in an overloading process. This ensues the accumulation of femoral microfractures and primes for the occurrence of an increased rate of stress fractures and an ACS in the thigh.

Spontaneous Non-Traumatic Anterior Compartment Syndrome with Peroneal Neuropathy and Favorable Outcome

1994 ◽  
Vol 25 (05) ◽  
pp. 268-270 ◽  
Author(s):  
A. Sloane ◽  
J. Vajsar ◽  
R. Laxer ◽  
P. Babyn ◽  
E. Murphy
Keyword(s):  
Compartment Syndrome ◽  
Favorable Outcome ◽  
Anterior Compartment ◽  
Peroneal Neuropathy

Gradual dilatation of an occluded transverse sinus associated with dural arteriovenous fistula after balloon angioplasty with sinus packing: A case report

2021 ◽  
pp. 197140092110415
Author(s):  
Takuya Osuki ◽  
Hiroyuki Ikeda ◽  
Tomoko Hayashi ◽  
Silsu Park ◽  
Minami Uezato ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Balloon Angioplasty ◽  
Dural Arteriovenous Fistula ◽  
Executive Dysfunction ◽  
Venous Drainage ◽  
Transverse Sinus ◽  
Sigmoid Sinus ◽  
Shunt Flow ◽  
Symptomatic Epilepsy ◽  
The Right

Background There is no consensus as to whether balloon angioplasty alone or stent placement is effective for sinus occlusion associated with dural arteriovenous fistula (DAVF). Herein, we first report a case of transverse sinus occlusion associated with DAVF in which gradual sinus dilatation was observed after balloon angioplasty with embolization of the affected sinus with shunt flow. Case presentation A 69-year-old man presented with executive dysfunction. Magnetic resonance imaging revealed left transverse sinus–sigmoid sinus DAVF with occlusion of the left jugular vein and right transverse sinus. Before endovascular treatment, the patient had symptomatic epilepsy and subarachnoid hemorrhage. Retrograde leptomeningeal venous drainage disappeared with packing of the left transverse sinus–sigmoid sinus. Subsequently, balloon angioplasty of the right occluded transverse sinus was performed to maintain the normal venous drainage and remaining shunt outflow. Dilatation of the right transverse sinus was poor immediately after surgery. However, angiography after 10 days and 6 months revealed gradual dilatation of the right transverse sinus. Conclusion Sinus occlusion, which is thought to be caused by sinus hypertension associated with DAVF rather than chronic organized thrombosis or thrombophilia, may dilate over time after balloon angioplasty and shunt flow reduction if occluded sinus is necessary for facilitating normal venous drainage.

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