Week 5 Compartment Syndrome- Johns Flashcards Preview

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Flashcards in Week 5 Compartment Syndrome- Johns Deck (8)
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1

A condition in which increased pressure within a limited space compromises the circulation and function of the tissues within that space

Compartment syndrome

2

Effects of compartment syndromes

Ischemia- reduced tissue perfusion
Necrosis- results in cell death (causes increase in CRP)
- ORTHOPEDIC EMERGENCY!

3

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

4

Time line for compartment syndrome

3-4 hrs = reversible changes
6 hrs = variable damage
8 hours = irreversible changes

5

What clues would help you diagnose compartment syndrome?

-pain out of proportion
-palpably tense compartment
-pain with passive stretch

6

Treatment for compartment syndrome?

Fasciotomy- of ALL COMPARTMENTS

-bulky compression dressing and splint
-close after 3 to 5 days

7

Medial tibial syndrome

insertion of the soleus

8

Worrisome signs of compartment syndrome?

Pallor
pulselessness
paralysis
paraesthesia