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

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

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: 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

Contemporary Management and Outcome After Lower Extremity Fasciotomy in Non-Trauma-Related Vascular Surgery

2018 ◽  
Vol 52 (7) ◽  
pp. 493-497 ◽  
Author(s):  
Charlotte Wesslén ◽  
Carl-Magnus Wahlgren
Keyword(s):  
Lower Extremity ◽  
Vascular Surgery ◽  
Compartment Syndrome ◽  
Multivariate Logistic Regression Analysis ◽  
Limb Ischemia ◽  
Aortic Disease ◽  
Acute Compartment Syndrome ◽  
Split Thickness Skin Graft ◽  
Acute Limb Ischemia ◽  
Endovascular Interventions

Introduction: Acute compartment syndrome (ACS) is a challenging and recognized complication to vascular surgery revascularization. The aim of this study was to investigate the current epidemiology, management, and early outcomes of fasciotomy in vascular surgery. Methods: Retrospective cohort study of all patients undergoing lower extremity fasciotomy at a single university center between January 2008 and December 2014. Patient demographics, operative techniques, and outcomes were analyzed. Results: The cohort (n = 113 limbs; 107 patients; 48% women; mean age was 74 (12) years [range, 50-97 years]) included 81 (72%) limbs undergoing revascularization for acute limb ischemia, 7 (6.2%) limbs related to acute aortic disease, and 23 (20%) limbs undergoing elective vascular surgery. Five patients underwent bilateral lower extremity fasciotomy. In all, 64 (57%) limbs had signs of ACS and underwent a therapeutic fasciotomy, while 49 (43%) fasciotomies were prophylactic. There were 20 (18%) fasciotomies performed after endovascular interventions. A 4-compartment fasciotomy was performed in 82% (n = 93) of limbs with a double incision technique. Split thickness skin graft was required in 11% (12/112) and vacuum-assisted closure treatment in 11% (12/111). The mean length of stay in hospital was 11 (9) days. Most common complication was lower extremity nerve deficit 32% (33/104) followed by wound infection 30% (32/108). At 30-day follow-up, amputation rate was 13% (14/107 limbs) and mortality 23% (25/107 patients). In the multivariate logistic regression analysis, prophylactic fasciotomy was associated with amputation (odds ratio: 28.9; 95% confidence interval: 1.96-425; P = .014). Conclusion: Acute compartment syndrome is primarily related to acute ischemic conditions but occurs after both aortic or elective vascular procedures and endovascular treatments. There are significant complications related to lower extremity fasciotomy in vascular surgery.

scholarly journals Wound closure expectations after fasciotomy for paediatric compartment syndrome

2018 ◽  
Vol 12 (1) ◽  
pp. 9-14 ◽  
Author(s):  
E. D. Shirley ◽  
V. Mai ◽  
K. M. Neal ◽  
G. M. Kiebzak
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Upper Extremity ◽  
Skin Graft ◽  
Wound Closure ◽  
Acute Compartment Syndrome ◽  
Split Thickness Skin Graft ◽  
Paediatric Patients ◽  
Thickness Skin ◽  
Additional Surgery

Purpose Acute compartment syndrome often requires additional surgery to achieve wound closure. Little information exists regarding the expected number of surgeries, techniques and complications after closure in paediatric patients. Methods A retrospective chart review identified patients treated for acute compartment syndrome at four hospitals over a ten-year period. The cause of injury, type of dressing, number of surgeries, type of closure and complications were recorded. Results In all, 32 patients (mean 10.9 years, 1 to 17) who underwent 18 lower and 14 upper extremity fasciotomies met inclusion criteria. Definitive wound closure technique was delayed primary in 72%, split thickness skin graft in 25%, and primary in 3% of patients. Closure required a mean 2.4 surgeries (0 to 4) over a mean 7.7 days (0 to 34). Days to closure and number of surgeries required were not significantly affected by mechanism of injury, fasciotomy location or type of dressing used. A total of 23.1% of patients with upper extremity and 0% with lower extremity fasciotomies had concerns about the scar appearance. Other complications included neurapraxia (6.7%), stiffness (6.7%), swelling (3.3%), scar pain (3.3%) and weakness (3.3%). Conclusions The most common complication after paediatric compartment syndrome is an unpleasant scar. Wound closure after upper or lower extremity fasciotomies in paediatric patients requires a split thickness skin graft in approximately one in four patients. However, avoiding a skin graft does not guarantee the absence of cosmetic concerns, which are more likely following upper extremity fasciotomies. Level of Evidence IV

LOWER EXTREMITY DEEP-VEIN-THROMBOSIS (DVT) AND ACUTE COMPARTMENT SYNDROME IN A YOUNG WOMAN SECONDARY TO PROLONGED IMMOBILIZATION

2011 ◽  
Vol 22 ◽  
pp. S94
Author(s):  
Danai Tsalta ◽  
Athanasios Nikolopoulos ◽  
Foteinh Artemakh ◽  
Ioannis Sourlas ◽  
Efstathios Chronopoulos ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Compartment Syndrome ◽  
Young Woman ◽  
Acute Compartment Syndrome ◽  
Vein Thrombosis ◽  
Prolonged Immobilization ◽  
Deep Vein
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