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Acute compartment syndrome can lead to a loss of the affected limb due to tissue death. [7] [9] Symptoms of acute compartment syndrome (ACS) include severe pain, decreased blood flow, decreased movement, numbness, and a pale limb. [5] It is most often due to physical trauma, like a bone fracture (up to 75% of cases) or a crush injury.
The most important signs and symptoms of compartment syndrome are observable before actual contracture. What is known as the five Ps of compartment syndrome include: pain, generally the initial symptom, accompanied by pulselessness, pallor, paralysis, and paraesthesias. Pain will likely also increase upon extension of the affected limbs hands ...
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
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Swelling and vascular injury following the fracture can lead to the development of the compartment syndrome which leads to long-term complication of Volkmann's contracture (fixed flexion of the elbow, pronation of the forearm, flexion at the wrist, and joint extension of the metacarpophalangeal joint). Therefore, early surgical reduction is ...
Compartment syndrome rarely occurs in the first dorsal interosseous compartment of hand. [6] This condition is caused by excessive use of hand, resulting in pain and swelling on the dorsum of the hand. It can be treated by simple fasciotomy. [6]
Compartment syndrome is a clinical diagnosis, i.e., no diagnostic test conclusively proves its presence or absence, but direct measurement of the pressure in a fascial compartment, [11] and the difference between this pressure and the blood pressure, [22] may be used to assess its severity. High pressures in the compartment and a small ...
Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome. The procedure has a very high rate of success, with the most common problem being accidental damage to a nearby nerve. A forearm fasciotomy prior to skin grafting.