Abstract
An extremity compartment syndrome develops when the tissue pressure within a limited space of the body reaches the point where the circulation, nerve function, and muscle function of that space are compromised. For this to occur, the compartment must have a relatively fixed space (i.e., enveloped by fascia) preventing inner tissue expansion and there needs to be a source of increased tissue pressure, either externally or internally.
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Volkmann R. Die ischaemischen muskellahmungen und kontrakturen. Zentralbl Chir. 1881;51:801–3.
Davies MS, Nadel S, Habibi P, et al. The orthopedic management of peripheral ischemia in meningococcal septicemia in children. J Bone Joint Surg Br. 2001;82:383–6.
Jyothi NK, Cox C. Compartment syndrome following postpartum hemorrhage. BJOG. 2000;107:430–2.
Loren GJ, Mohler LR, Pedowitz RA. Bilateral compartment syndrome of the leg complicating tetanus infection. Orthopedics. 2001;24:997–9.
Nicholson P, Devitt A, Stevens M, et al. Acute exertional peroneal compartmental syndrome following prolonged horse riding. Injury. 1998;29:643–4.
Johnson IA, Andrzejowski JC, Currie JS. Lower limb compartment syndrome resulting from malignant hyperthermia. Anaesth Intensive Care. 1999;27:292–4.
Cara JA, Narvaez A, Bertrand ML, et al. Acute traumatic compartment syndrome in the leg. Int Orthop. 1999;23:61–2.
Tremblay LN, Feliciano DV, Rozycki GS. Secondary extremity compartment syndrome. J Trauma. 2002;53:833–7.
Williams P, Shenilikar A, Roberts RC, et al. Acute non-traumatic compartment syndrome related to soft tissue injury. Injury. 1996;27:507–8.
Qvarfordt P, Christenson JT, Eklöf B, Ohlin P. Intramuscular pressure after revascularization of the popliteal artery in severe ischaemia. Br J Surg. 1983;70:539.
McQueen MM, Gaston P, Court-Brown CM. Acute compartment syndrome. Who is at risk? J Bone Joint Surg Br. 2000;82:200.
Elliott KG, Johnstone AJ. Diagnosing acute compartment syndrome. J Bone Joint Surg Br. 2003;85:625.
Köstler W, Strohm PC, Südkamp NP. Acute compartment syndrome of the limb. Injury. 2005;36:992.
Patel RV, Haddad FS. Compartment syndromes. Br J Hosp Med (Lond). 2005;66:583.
DeLee JC, Stiehl JB. Open tibia fracture with compartment syndrome. Clin Orthop Relat Res. 1981;160:175–84.
Matsen FA. Etiologies of compartmental Syndrome. In: Matsen FA, editor. Compartmental syndromes. New York: Grune & Stratton; 1980. p. 69–71.
Ulmer T. The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of disorder? J Orthop Trauma. 2002;16:572–7.
Kosir R, Morre FA, Selby LH. Acute lower extremity compartment syndrome (ALECS) screening protocol in critically ill trauma patients. J Trauma. 2007;63:268–75.
Matsen FA. Diagnosis of compartmental syndrome. In: Matsen FA, editor. Compartmental syndromes. New York: Grune & Stratton; 1980. p. 85–100.
Fuller DA, Barrett M, Marburger RK, Hirsch R. Carpal canal pressures after volar plating of distal radius fractures. J Hand Surg Br. 2006;31:236.
Shadgan B, Menon M, O’Brien PJ, Reid WD. Diagnostic techniques in acute compartment syndrome of the leg. J Orthop Trauma. 2008;22:581.
Myers RA. Hyperbaric oxygen therapy for trauma: crush injury, compartment syndrome, and other acute traumatic peripheral ischemias. Int Anesthesiol Clin. 2000;38:139.
Olson SA, Glasgow RR. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436.
Mubarak SJ, Owen CA. Double-incision fasciotomy of the leg for decompression in compartment syndromes. J Bone Joint Surg Am. 1977;59:184.
Newton EJ, Love J. Acute complications of extremity trauma. Emerg Med Clin North Am. 2007;25:751.
Matsen III FA, Krugmire Jr RB. Compartmental syndromes. Surg Gynecol Obstet. 1978;147:943.
Zweifach SS, Hargens AR, Evans KL, et al. Skeletal muscle necrosis in pressurized compartments associated with hemorrhagic hypotension. J Trauma. 1980;20:941.
Matsen FA. Pathophysiology of increased tissue pressure. In: Matsen FA, editor. Compartmental syndromes. New York: Grune & Stratton; 1980. p. 36.
Szabo RM, Gelberman RH, Williamson RV, Hargens AR. Effects of increased systemic blood pressure on the tissue fluid pressure threshold of peripheral nerve. J Orthop Res. 1983;1:172.
Zweifach SS, Hargens AR, Evans KL, et al. Skeletal muscle necrosis in pressurized compartments associated with hemorrhagic hypotension. J Trauma. 1980;20:941.
McQueen MM, Court-Brown CM. Compartment monitoring in tibial fractures. The pressure threshold for decompression. J Bone Joint Surg Br. 1996;78:99–104.
Owings JT, Kennedy JP, Blaisdell FW. Injuries to the extremities. In: Wilmore DW, Cheung LY, Harken AH, Holcroft JW, Meakins JL, Soper NJ, editors. ACS surgery: principles and practice. New York: WebMD Corporation; 2002. p. 474–6.
Gentilello LM, Sanzone A, Wang L, et al. Near infrared spectroscopy versus compartment pressure for the diagnosis of lower extremity compartmental syndrome using electromyography determined measurements of neuromuscular function. J Trauma. 2001;51:1–8.
White TO, Howell GED, Will EM, Court-Brown CM, McQueen MM. Elevated intramuscular compartment pressures do not influence outcome after tibial fracture. J Trauma. 2003;55:1133–8.
Whitesides TE, Haney TC, Morimoto K, Harada H. Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop Relat Res. 1975;113:43–51.
Mubarak SJ, Owen CA, Hargens AR, et al. Acute compartment syndromes: diagnosis and treatment with the aid of the wick catheter. J Bone Joint Surg Am. 1978;60:1091.
Rorabeck CH, Castle GS, Hardie R, Logan J. Compartmental pressure measurements: an experimental investigation using the slit catheter. J Trauma. 1981;21:446.
Willy C, Gerngross H, Sterk J. Measurement of intracompartmental pressure with use of a new electronic transducer-tipped catheter system. J Bone Joint Surg Am. 1999;81:158.
Uliasz A, Ishida JT, Fleming JK, Yamamoto LG. Comparing the methods of measuring compartment pressures in acute compartment syndrome. Am J Emerg Med. 2003;21:143.
Heppenstall RB, Sapega AA, Izant T, et al. Compartment syndrome: a quantitative study of high-energy phosphorus compounds using 31P magnetic resonance spectroscopy. J Trauma. 1989;29:1113–9.
Arbabi S, Brundage SI, Gentilello LM. Near-infrared spectroscopy: a potential method for continuous, transcutaneous monitoring for compartmental syndrome in critically injured patients. J Trauma. 1999;47:829–33.
Giannotti G, Cohn SM, Brown M, Varela JE, McKenney MG, Wiseberg JA. Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome. J Trauma. 2000;48:396–401.
Matsen FA. Treatment of compartmental syndromes. In: Matsen FA, editor. Compartmental syndromes. New York: Grune & Stratton; 1980. p. 101–15.
Styf J, Wiger P. Abnormally increased intramuscular pressure in human legs: comparison of two experimental models. J Trauma. 1998;45:133.
Hakaim AG, Cunningham L, White JL, Hoover K. Selective type III phosphodiesterase inhibition prevents elevated compartment pressure after ischemia/reperfusion injury. J Trauma. 1999;46:869–72.
Guerrero A, Gibson K, Kralovich KA, et al. Limb loss following lower extremity arterial trauma: what can be done proactively. Injury. 2002;33:765–9.
Zannis J, Angobaldo J, Marks M, et al. Comparison of fasciotomy wound closures using traditional dressing changes and the vacuum-assisted closure device. Ann Plast Surg. 2009;62:407.
Yang CC, Chang DS, Webb LX. Vacuum-assisted closure for fasciotomy wounds following compartment syndrome of the leg. J Surg Orthop Adv. 2006;15:19.
Wattel F, Mathieu D, Nevière R, Bocquillon N. Acute peripheral ischaemia and compartment syndromes: a role for hyperbaric oxygenation. Anaesthesia. 1998;53 Suppl 2:63.
Strauss MB, Hargens AR, Gershuni DH, et al. Delayed use of hyperbaric oxygen for treatment of a model anterior compartment syndrome. J Orthop Res. 1986;4:108.
Tibbles PM, Edelsberg JS. Hyperbaric-oxygen therapy. N Engl J Med. 1996;334:1642.
Weiland DE. Fasciotomy closure using simultaneous vacuum-assisted closure and hyperbaric oxygen. Am Surg. 2007;73:261.
Abdullah MS, Al-Waili NS, Butler G, Baban NK. Hyperbaric oxygen as an adjunctive therapy for bilateral compartment syndrome, rhabdomyolysis and acute renal failure after heroin intake. Arch Med Res. 2006;37:559.
Jensen SL, Sandermann J. Compartment syndrome and fasciotomy in vascular surgery. A review of 57 cases. Eur J Vasc Endovasc Surg. 1997;13:48.
Sheridan GW, Matsen III FA. Fasciotomy in the treatment of the acute compartment syndrome. J Bone Joint Surg Am. 1976;58:112.
Cohen MS, Garfin SR, Hargens AR, et al. Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. J Bone Joint Surg Br. 1991;73:287.
Cooper GG. A method of single-incision, four compartment fasciotomy of the leg. Eur J Vasc Surg. 1992;6:659.
Fitzgerald AM, Gaston P, Wilson Y, et al. Long-term sequelae of fasciotomy wounds. Br J Plast Surg. 2000;53:690.
Rush DS, Frame SB, Bell RM, et al. Does open fasciotomy contribute to morbidity and mortality after acute lower extremity ischemia and revascularization. J Vasc Surg. 1989;10:343–50.
Heemskerk J, Kitslaar P. Acute compartment syndrome of the lower leg: retrospective study on prevalence, technique, and outcome of fasciotomies. World J Surg. 2003;27:744.
Lagerstrom CF, Reed II RL, Rowlands BJ, Fischer RP. Early fasciotomy for acute clinically evident posttraumatic compartment syndrome. Am J Surg. 1989;158:36.
Johnson SB, Weaver FA, Yellin AE, et al. Clinical results of decompressive dermotomy-fasciotomy. Am J Surg. 1992;164:286.
Velmahos GC, Theodorou D, Demetriades D, et al. Complications and nonclosure rates of fasciotomy for trauma and related risk factors. World J Surg. 1997;21:247.
Ojike NI, Roberts CS, Giannoudis PV. Compartment syndrome of the thigh: a systematic review. Injury. 2010;41:133.
Ritenour AE, Dorlac WC, Fang R, et al. Complications after fasciotomy revision and delayed compartment release in combat patients. J Trauma. 2008;64:S153.
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Kosir, R., Cretnik, A. (2013). Extremity Compartment Syndromes. In: Moore, L., Turner, K., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6123-4_38
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DOI: https://doi.org/10.1007/978-1-4614-6123-4_38
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