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.

Regional anesthesia and acute compartment syndrome: principles for practice

2021 ◽  
pp. rapm-2021-102735
Author(s):  
Tim Dwyer ◽  
David Burns ◽  
Aaron Nauth ◽  
Kaitlin Kawam ◽  
Richard Brull
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia ◽  
Clinical Symptoms ◽  
Motor Nerve ◽  
Acute Compartment Syndrome ◽  
Clinical Settings ◽  
Tissue Ischemia ◽  
Orthopedic Surgical Procedures ◽  
Cardinal Symptom ◽  
Symptoms And Signs

Acute compartment syndrome (ACS) is a potentially reversible orthopedic surgical emergency leading to tissue ischemia and ultimately cell death. Diagnosis of ACS can be challenging, as neither clinical symptoms nor signs are sufficiently sensitive. The cardinal symptom associated with ACS is pain reported in excess of what would otherwise be expected for the underlying injury, and not reasonably managed by opioid-based analgesia. Regional anesthesia (RA) techniques are traditionally discouraged in clinical settings where the development of ACS is a concern as sensory and motor nerve blockade may mask symptoms and signs of ACS. This Education article addresses the most common trauma and elective orthopedic surgical procedures in adults with a view towards assessing their respective risk of ACS and offering suggestions regarding the suitability of RA for each type of surgery.

Acute Compartment Syndrome of the Thigh Caused by the Pseudoaneurysm of the Femoral Artery: A Case Report

2006 ◽  
Vol 41 (3) ◽  
pp. 547 ◽  
Author(s):  
Song Lee ◽  
Ki Woong Jeong ◽  
Dong Ki Ahn ◽  
Byoung Gi Kwon ◽  
Sang Kyu Cha ◽  
...  
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Femoral Artery ◽  
Acute Compartment Syndrome

scholarly journals Acute compartment syndrome of the lower limb following childbirth: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Sharon Coulton ◽  
Sally Bourne ◽  
Simon Catliffe ◽  
Roderick Brooks ◽  
David Jollow
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Lower Limb ◽  
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 supraspinatus: A case report

2000 ◽  
Vol 9 (2) ◽  
pp. 152-156 ◽  
Author(s):  
Takumi Takakuwa ◽  
Masatoshi Takeda ◽  
Hiroshi Tada ◽  
Masatoshi Katsuki ◽  
Satoru Nakamura ◽  
...  
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Acute Compartment Syndrome

scholarly journals Acute Compartment Syndrome in the Anabolic Steroid using Bodybuilder: A Case Report

2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Ferreira Eduardo Freitas ◽  
Dantas Barbara ◽  
Portugal Diogo ◽  
Silva Nuno ◽  
Peixoto Catarina ◽  
...  
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Anabolic Steroid ◽  
Acute Compartment Syndrome
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