Flashcards in Week 5 Compartment Syndrome- Johns Deck (8)
A condition in which increased pressure within a limited space compromises the circulation and function of the tissues within that space
Effects of compartment syndromes
Ischemia- reduced tissue perfusion
Necrosis- results in cell death (causes increase in CRP)
- ORTHOPEDIC EMERGENCY!
Most common causes of compartment syndrome?
1. Fractures (closed and open) -incidence is directly proportional to the degree of injury to soft tissue and bone
2. Blunt trauma
Time line for compartment syndrome
3-4 hrs = reversible changes
6 hrs = variable damage
8 hours = irreversible changes
What clues would help you diagnose compartment syndrome?
-pain out of proportion
-palpably tense compartment
-pain with passive stretch
Treatment for compartment syndrome?
Fasciotomy- of ALL COMPARTMENTS
-bulky compression dressing and splint
-close after 3 to 5 days
Medial tibial syndrome
insertion of the soleus