SlideShare a Scribd company logo
1 of 12
Compartment Syndrome
Definition
• Condition where the osseofascial compartment pressure rises to level
that decreases perfusion and may lead to irreversible muscle and
neurovascular damage
Epidemiology
• May occur anywhere that skeletal muscle is surrounded by fascia but
most commonly affected at the leg, forearm, hand, foot, thigh,
buttock, shoulder, paraspinous muscle
• Risk Factor
• Diaphyseal fracture
• Young age (highest prevelance in 12-19 years olds)
Etiology
• Trauma : fracture, crush injuries, contusions, gunshot wound
• Tight casts, dressings, or external wrapping
• Extravasasion of IV infusion
• Burn, Post ischemic swelling
• Bleeding disorders
• Arterial injury
Pathoanatomy
Local trauma
and soft tissue
destruction
bleeding and
edema
increased
interstitial
pressure
vascular
occlusion
(decreased
venous
outflow
relative to
arterial
inflow)
myoneural
ischemia
Presentation
• Pain out of proportion to the clinical situation is usually first symptom
• May be absent in cases of nerve damage
• Pain is difficult to assess in polytrauma patient, sedated patient, in
children (unable to verbalize)
Physical exam
• Pain with passive stretch (most sensitive finding prior to onset of
ischemia)
• Paresthesia and hypoesthesia
• Paralysis (late finding, full recovery is rare in this case)
• Palpable swelling
• Peripheral pulses absent (late finding, amputation usually inevitable
in this cases)
Imaging
• To rule out the fracture
Studies
• Compartment pressure measurement the indication are polytrauma
patients, patient not alert/unreliable, inconclusive physical exam
findings
• Relative contraindication are unequivocally positive clinical findings
should prompt emergent operative intervention without need for
compartment measurements
Diagnosis
• Clinical diagnosis on physical exam in patients with intact mental
status
Treatment
• Nonoperative :
• Observation (Delta P > 30, presentation not consistent with compartment
syndrome),
• Bi valving the cast and loosening circumferential dressings (initial treatment
for swelling or pain not compartment syndrome) ,
• Hyperbaric oxygen therapy (increasing the oxygen diffusion gradient)
• Operative : Emergent fasciotomy
• Clinical consistent with compartment syndrome (within 30 mmHg of diastolic
blood pressure delta p)
Special considerations
• Children unable to verbalize; if suspicion the perform compartment
measurement under sedation
• Hemophiliacs patient give factor VIII replacement before measuring
compartment tissue

More Related Content

Similar to Compartment Syndrome.pptx

Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndromeAvid Listener
 
2_2019_11_15!10_08_04444444444441_AM.ppt
2_2019_11_15!10_08_04444444444441_AM.ppt2_2019_11_15!10_08_04444444444441_AM.ppt
2_2019_11_15!10_08_04444444444441_AM.pptAnjum Raashid
 
Pericardial diseases part i
Pericardial diseases part   iPericardial diseases part   i
Pericardial diseases part iPREETHYDAVID
 
Abdwall pain1
Abdwall pain1Abdwall pain1
Abdwall pain1scottz16
 
DIABETIC FOOT ULCER
DIABETIC FOOT ULCERDIABETIC FOOT ULCER
DIABETIC FOOT ULCERHaziq Mars
 
Compartment syndromes
Compartment syndromesCompartment syndromes
Compartment syndromesmithilesh216
 
Compartment Syndrome.pptx
Compartment Syndrome.pptxCompartment Syndrome.pptx
Compartment Syndrome.pptxrohitchand26
 
Pathology and management of compartment syndrome in orthopedics 1
Pathology and management of compartment syndrome in orthopedics 1Pathology and management of compartment syndrome in orthopedics 1
Pathology and management of compartment syndrome in orthopedics 1EnejoJoseph
 
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppt
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.pptOTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppt
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppts14035891
 
Interventional pain management
Interventional pain managementInterventional pain management
Interventional pain managementAnurag Aggarwal
 
206869083 ortho-study-guide
206869083 ortho-study-guide206869083 ortho-study-guide
206869083 ortho-study-guidehomeworkping7
 
Rare cases in Urology.ppt
Rare cases in Urology.pptRare cases in Urology.ppt
Rare cases in Urology.pptAung Ko Htet
 
Anesthesia consideration in spine surgery
Anesthesia consideration in spine surgeryAnesthesia consideration in spine surgery
Anesthesia consideration in spine surgeryTenzin yoezer
 

Similar to Compartment Syndrome.pptx (20)

compartment syndrome
compartment syndromecompartment syndrome
compartment syndrome
 
Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndrome
 
2_2019_11_15!10_08_04444444444441_AM.ppt
2_2019_11_15!10_08_04444444444441_AM.ppt2_2019_11_15!10_08_04444444444441_AM.ppt
2_2019_11_15!10_08_04444444444441_AM.ppt
 
Compartment_Syndrome - COK ver 02112022.ppt
Compartment_Syndrome - COK ver 02112022.pptCompartment_Syndrome - COK ver 02112022.ppt
Compartment_Syndrome - COK ver 02112022.ppt
 
Pericardial diseases part i
Pericardial diseases part   iPericardial diseases part   i
Pericardial diseases part i
 
Abdwall pain1
Abdwall pain1Abdwall pain1
Abdwall pain1
 
DIABETIC FOOT ULCER
DIABETIC FOOT ULCERDIABETIC FOOT ULCER
DIABETIC FOOT ULCER
 
Compartment syndromes
Compartment syndromesCompartment syndromes
Compartment syndromes
 
Compartment Syndrome.pptx
Compartment Syndrome.pptxCompartment Syndrome.pptx
Compartment Syndrome.pptx
 
Pathology and management of compartment syndrome in orthopedics 1
Pathology and management of compartment syndrome in orthopedics 1Pathology and management of compartment syndrome in orthopedics 1
Pathology and management of compartment syndrome in orthopedics 1
 
Cv
 Cv Cv
Cv
 
Endocarditis
EndocarditisEndocarditis
Endocarditis
 
Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndrome
 
Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndrome
 
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppt
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.pptOTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppt
OTA-G02_Vallier_Assessment-Management-Polytrauma-02-2016-FINAL-APPROVED.ppt
 
Abdominal injury
Abdominal injuryAbdominal injury
Abdominal injury
 
Interventional pain management
Interventional pain managementInterventional pain management
Interventional pain management
 
206869083 ortho-study-guide
206869083 ortho-study-guide206869083 ortho-study-guide
206869083 ortho-study-guide
 
Rare cases in Urology.ppt
Rare cases in Urology.pptRare cases in Urology.ppt
Rare cases in Urology.ppt
 
Anesthesia consideration in spine surgery
Anesthesia consideration in spine surgeryAnesthesia consideration in spine surgery
Anesthesia consideration in spine surgery
 

Recently uploaded

Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 

Compartment Syndrome.pptx

  • 2. Definition • Condition where the osseofascial compartment pressure rises to level that decreases perfusion and may lead to irreversible muscle and neurovascular damage
  • 3. Epidemiology • May occur anywhere that skeletal muscle is surrounded by fascia but most commonly affected at the leg, forearm, hand, foot, thigh, buttock, shoulder, paraspinous muscle • Risk Factor • Diaphyseal fracture • Young age (highest prevelance in 12-19 years olds)
  • 4. Etiology • Trauma : fracture, crush injuries, contusions, gunshot wound • Tight casts, dressings, or external wrapping • Extravasasion of IV infusion • Burn, Post ischemic swelling • Bleeding disorders • Arterial injury
  • 5. Pathoanatomy Local trauma and soft tissue destruction bleeding and edema increased interstitial pressure vascular occlusion (decreased venous outflow relative to arterial inflow) myoneural ischemia
  • 6. Presentation • Pain out of proportion to the clinical situation is usually first symptom • May be absent in cases of nerve damage • Pain is difficult to assess in polytrauma patient, sedated patient, in children (unable to verbalize)
  • 7. Physical exam • Pain with passive stretch (most sensitive finding prior to onset of ischemia) • Paresthesia and hypoesthesia • Paralysis (late finding, full recovery is rare in this case) • Palpable swelling • Peripheral pulses absent (late finding, amputation usually inevitable in this cases)
  • 8. Imaging • To rule out the fracture
  • 9. Studies • Compartment pressure measurement the indication are polytrauma patients, patient not alert/unreliable, inconclusive physical exam findings • Relative contraindication are unequivocally positive clinical findings should prompt emergent operative intervention without need for compartment measurements
  • 10. Diagnosis • Clinical diagnosis on physical exam in patients with intact mental status
  • 11. Treatment • Nonoperative : • Observation (Delta P > 30, presentation not consistent with compartment syndrome), • Bi valving the cast and loosening circumferential dressings (initial treatment for swelling or pain not compartment syndrome) , • Hyperbaric oxygen therapy (increasing the oxygen diffusion gradient) • Operative : Emergent fasciotomy • Clinical consistent with compartment syndrome (within 30 mmHg of diastolic blood pressure delta p)
  • 12. Special considerations • Children unable to verbalize; if suspicion the perform compartment measurement under sedation • Hemophiliacs patient give factor VIII replacement before measuring compartment tissue