Abstract
Compartment syndrome (CS) is one of the true surgical emergencies in orthopaedic trauma, and the sequelae of a missed diagnosis can have serious implications. The development of a CS begins at the microvascular level with disruption of the homeostatic environment between venous pressure, arterial flow, and intracompartmental tissue pressure. While the pathophysiology has been previously described in the literature, there remain diagnostic challenges and some question regarding the clinical utility and reliability of clinical symptoms and the physical exam-particularly in the compromised, obtunded, or pediatric patient. Early and complete fasciotomy has been shown to decrease the rates of adverse complications, however is not without some morbidity. Some of the challenges and newer diagnostic modalities in the identification of CS are reviewed as well as different fasciotomy techniques and other important concepts in the pathophysiology, outcomes, and medicolegal implications of this condition.
| Original language | English (US) |
|---|---|
| Title of host publication | Management of Musculoskeletal Injuries in the Trauma Patient |
| Publisher | Springer New York |
| Pages | 225-242 |
| Number of pages | 18 |
| ISBN (Print) | 9781461485513, 1461485509, 9781461485506 |
| DOIs | |
| State | Published - Nov 1 2013 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Compartment syndrome. / Forsh, David A.; Wolinsky, Philip R.
Management of Musculoskeletal Injuries in the Trauma Patient. Springer New York, 2013. p. 225-242.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Compartment syndrome
AU - Forsh, David A.
AU - Wolinsky, Philip R
PY - 2013/11/1
Y1 - 2013/11/1
N2 - Compartment syndrome (CS) is one of the true surgical emergencies in orthopaedic trauma, and the sequelae of a missed diagnosis can have serious implications. The development of a CS begins at the microvascular level with disruption of the homeostatic environment between venous pressure, arterial flow, and intracompartmental tissue pressure. While the pathophysiology has been previously described in the literature, there remain diagnostic challenges and some question regarding the clinical utility and reliability of clinical symptoms and the physical exam-particularly in the compromised, obtunded, or pediatric patient. Early and complete fasciotomy has been shown to decrease the rates of adverse complications, however is not without some morbidity. Some of the challenges and newer diagnostic modalities in the identification of CS are reviewed as well as different fasciotomy techniques and other important concepts in the pathophysiology, outcomes, and medicolegal implications of this condition.
AB - Compartment syndrome (CS) is one of the true surgical emergencies in orthopaedic trauma, and the sequelae of a missed diagnosis can have serious implications. The development of a CS begins at the microvascular level with disruption of the homeostatic environment between venous pressure, arterial flow, and intracompartmental tissue pressure. While the pathophysiology has been previously described in the literature, there remain diagnostic challenges and some question regarding the clinical utility and reliability of clinical symptoms and the physical exam-particularly in the compromised, obtunded, or pediatric patient. Early and complete fasciotomy has been shown to decrease the rates of adverse complications, however is not without some morbidity. Some of the challenges and newer diagnostic modalities in the identification of CS are reviewed as well as different fasciotomy techniques and other important concepts in the pathophysiology, outcomes, and medicolegal implications of this condition.
UR - http://www.scopus.com/inward/record.url?scp=84929675075&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929675075&partnerID=8YFLogxK
U2 - 10.1007/978-1-4614-8551-3_10
DO - 10.1007/978-1-4614-8551-3_10
M3 - Chapter
SN - 9781461485513
SN - 1461485509
SN - 9781461485506
SP - 225
EP - 242
BT - Management of Musculoskeletal Injuries in the Trauma Patient
PB - Springer New York
ER -