compartment syndrome

Question 1

paraesthesia (an early sign), disproportionate pain on assessment of tone (passive rather than active movements) and normal x-ray findings should raise suspicion of

Answer 1

compartment syndrome

Question 2

what type of people are more at risk of compartment syndrome

Answer 2

haemophiliacs

Question 3

treatment of compartment syndrome

Answer 3

This is essentially prompt and extensive fasciotomies
In the lower limb the deep muscles may be inadequately decompressed by the inexperienced operator when smaller incisions are performed
Myoglobinuria may occur following fasciotomy and result in renal failure and for this reason these patients require aggressive IV fluids
Where muscle groups are frankly necrotic at fasciotomy they should be debrided and amputation may have to be considered
Death of muscle groups may occur within 4-6 hours