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Crush Injury and Extremity Compartment Syndromes

  • Nathaniel Lee
  • Jill Peysha
  • Paula Ferrada
Soft Tissue Injuries (C Brown, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Soft Tissue Injuries

Abstract

Purpose of Review

The purposes of this review are to define crush injury and crush syndrome and describe how it relates to extremity compartment syndrome. This review will also describe surgical interventions required once compartment syndrome has been identified and discuss the outcomes and complications of both timely and delayed surgical management.

Recent Findings

The management of crush syndrome has evolved to push aggressive fluid resuscitation as early as feasible, including into the field. Developments regarding compartment syndrome are primarily exploring new tools to facilitate the early identification of compartment syndrome.

Summary

Two important and clinically relevant sequela of a crushing traumatic injury are crush syndrome and compartment syndrome. The outcomes of both syndromes are greatly improved with early recognition and treatment. There are several different clinical and diagnostic ways to identify compartment syndrome that can be tailored to the clinical setting; however, surgical intervention to release the compartments should be performed immediately once there is a high suspicion as waiting can lead to devastating consequences.

Keywords

Crush syndrome Compartment syndrome Crush injuries 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Virginia Commonwealth UniversityRichmondUSA
  2. 2.VCU Surgery Trauma, Critical Care and Emergency SurgeryRichmondUSA
  3. 3.West HospitalRichmondUSA

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