2,882 results match your criteria Compartment Syndrome Extremity


Traumatic Femoral Artery Injuries and Predictors of Compartment Syndrome: A Nationwide Analysis.

J Surg Res 2021 Apr 30;265:159-167. Epub 2021 Apr 30.

Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona. Electronic address:

Background: The femoral artery is commonly injured following lower extremity trauma. If not identified early and addressed properly, it can lead to compartment syndrome (CS) and limb amputation. The aim of this study is to examine traumatic femoral artery injuries and identify risk factors for the development of lower extremity CS. Read More

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Compartment syndrome following use of tissue plasminogen activator for frostbite in the setting of concomitant diaphyseal tibia fracture.

OTA Int 2020 Jun 22;3(2):e079. Epub 2020 May 22.

Department of Orthpaedic Surgery, MetroHealth Medical Center, Cleveland, OH.

Background: Tissue plasminogen activator (tPA) is a thrombolytic agent increasingly being employed for the treatment of acute frostbite. Although tPA has been shown with success to increase digit salvage rates, data on potential complications, including risk of hemorrhage, is limited. As a result, acute trauma is considered a contraindication to use in many institution-based protocols. Read More

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MR diagnosed chronic exertional compartment syndrome successfully treated by endoscopically-assisted fasciotomy.

Radiol Case Rep 2021 Jun 9;16(6):1378-1383. Epub 2021 Apr 9.

Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine - Jacksonville, 655 West 8th St. C90, Jacksonville, FL 32209.

Chronic exertional compartment syndrome is a subset of compartment syndrome that most frequently affects the lower extremities, often in athletic persons. It is most often characterized by calf pain shortly after the initiation of exercise and resolution of the pain soon after rest. While the pathophysiology is not completely understood, it is believed that compartment a lack of fascial compliance and increased compartment fluid leads to increased pressure, ultimately leading to a reversible ischemic state. Read More

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Thromboelastography utilization for dabigatran reversal in a patient with acute kidney injury.

Am J Health Syst Pharm 2021 Apr 25. Epub 2021 Apr 25.

Acute Care Trauma & Surgery, Wesley Medical Center, Wichita, KS, USA.

Disclaimer: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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A rare cause of acute compartment syndrome after gluteal cyst rupture.

J Community Hosp Intern Med Perspect 2021 Mar 23;11(2):266-268. Epub 2021 Mar 23.

Department of Internal Medicine and Department of Family Medicine Hackensack Meridian Health Palisades Medical CenterNorth Bergen NJ USA.

Acute Compartment Syndrome (ACS) is a serious medical condition that often results in high morbidity. ACS more commonly presents after substantial trauma in the extremities where compartment pressures can be measured. Here, we present an unusual case of a healthy man who presented with ACS of the thigh secondary to rupture of the gluteal cyst which was formed after multiple unsupervised testosterone injections. Read More

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Reconstruction of COVID-19-Related Compartment Syndrome With Massive Soft Tissue Necrosis.

Wounds 2021 Apr;33(4):99-105

Rubin Institute for Advanced Orthopedics, Baltimore, Maryland.

Introduction: The COVID-19 virus is caused by the new coronavirus, SARS-CoV-2. COVID-19 has drastically changed the medical landscape. Although predominantly impacting the respiratory system, COVID-19 has several non-respiratory symptoms associated with its presentation and course. Read More

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Postoperative extremity compartment syndrome in a cancer center: Incidence and risk factors.

Surg Oncol 2021 Apr 3;38:101563. Epub 2021 Apr 3.

Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Objective: Postoperative compartment syndrome is a reported complication with known patient- and treatment-specific risk factors. Cancer patients carry unique risk factors associated with their underlying disease and long, complex procedures. While elevated serum lactate in traumatic and intensive care settings portends higher risk, no laboratory parameter has demonstrated utility in postoperative risk stratification. Read More

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Trauma Center Outcomes After Transition From Level 2 to Level 1: A National Trauma Data Bank Analysis.

J Surg Res 2021 Apr 12;264:499-509. Epub 2021 Apr 12.

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Johns Hopkins School of Medicine, Baltimore, Maryland.

Background: Previous US-based studies have shown that a trauma center designation of level 1 is associated with improved patient outcomes. However, most studies are cross-sectional, focus on volume-related issues and are direct comparisons between levels. This study investigates the change in patient characteristics when individual trauma centers transition from level 2 to level 1 and whether the patients have similar outcomes during the initial period of the transition. Read More

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[Retrograde muscle release method in treatment of mild to moderate ischemic muscle contracture of forearm].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):483-487

Department of Orthopedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, P.R.China.

Objective: To investigate the effectiveness of retrograde muscle release in treatment of mild to moderate type ischemic muscle contracture of forearm classified by Tsuge.

Methods: Between March 2010 and September 2018, 11 patients with mild to moderate ischemic muscle contracture of forearm were treated with retrograde muscle release. There were 6 males and 5 females with an average age of 24 years (range, 16-29 years). Read More

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Retention Sutures and Negative Pressure Wound Therapy for Delayed Primary Closure of Fasciotomy Wounds.

Plast Reconstr Surg Glob Open 2021 Apr 8;9(4):e3530. Epub 2021 Apr 8.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Achieving primary closure of lower extremity fasciotomy wounds is difficult. Surgeons are faced with the option of waiting potentially long periods of time for edema to reside, in order to attempt delayed primary closure (DPC) versus closing at an earlier time with a split thickness skin graft. DPC offers superior aesthetic outcomes than split thickness skin grafts but traditionally cannot occur until later in the clinical course once excessive edema has subsided. Read More

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Early escharotomy-like procedure for the prevention of extremity autoamputation in harlequin ichthyosis.

Biomed J 2021 Apr 11. Epub 2021 Apr 11.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Xiamen Chang Gung Hospital, Xiamen, China. Electronic address:

Harlequin ichthyosis is a rare congenital disorder, which causes restrictive circumferential encasement of the trunk and limbs. Patients usually develop compartment syndrome and sequential cyanosis of limbs and digits, leading to autoamputation. We report a case of harlequin ichthyosis in which all digits were preserved with an early escharotomy-like procedure. Read More

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Resection of Anterior and Lateral Muscle Compartments Does Not Preclude Limb Salvage and Functions.

Adv Skin Wound Care 2021 May;34(5):268-272

In the Department of Surgery at the University of Maryland Medical Center, Baltimore, Maryland, Eleanor Dunlap, ACNP-BC, is Senior Nurse Practitioner; Suzanna Fitzpatrick, DNP, ACNP, FNP, is Senior Nurse Practitioner; Felecia Jinwala, MD, is Vascular Surgery Fellow; Charles Drucker, MD, is General Surgery Resident; and Khanjan Nagarsheth, MD, MBA, RPVI, is Attending Physician. Willie Lang, MD, is General Surgery Resident, Sinai Hospital of Baltimore, Maryland. The authors have disclosed no financial relationships related to this article. Submitted June 15, 2020; accepted in revised form September 25, 2020.

Background: Fasciotomy with resection of nonviable muscle is often necessary when there is a delay in compartment syndrome (CS) diagnosis after revascularization. The reported rate of major amputation following missed CS or delayed fasciotomy ranges from 12% to 35%. Herein, the authors present a series of critically ill patients who experienced delayed CS diagnosis and required complete resection of the anterior and/or lateral compartments but still achieved limb salvage and function. Read More

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Compartments of the antebrachial fascia of the forearm: clinically relevant ultrasound, anatomical and histological findings.

Surg Radiol Anat 2021 Apr 5. Epub 2021 Apr 5.

Cattedra di Radiologia "R"-DICMI, Universita di Genova, Genoa, Italy.

Purpose: Acute compartment syndrome is defined as a limb-threatening condition caused by bleeding or oedema in a closed muscle compartment surrounded by fascia or bone. It is most commonly encountered in the forearm, which has three compartments: posterior, anterior and lateral. These are surrounded and closed in by the antebrachial fascia, formed by dense connective tissue that facilities their study on ultrasound and is key to fasciotomy treatment. Read More

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Photoacoustic imaging in monitoring of compartmental syndrome in rat extremities.

Appl Opt 2021 Apr;60(10):2912-2918

Muscle ischemia injury is the essence of compartment syndrome (CS). Photoacoustic (PA) imaging can monitor hemoglobin concentration changes in ischemic tissue by determining the state of light-absorbing molecules. This study investigated whether PA imaging can provide accurate CS monitoring. Read More

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Fast-Track Cardiac Anesthesia Aids in the Early Diagnosis of Lower Extremity Compartment Syndrome: A Case Report.

A A Pract 2021 Feb;15(2):e01409

From the Walter Reed National Military Medical Center, Bethesda, Maryland.

A 21-year-old otherwise healthy male with severe asymptomatic mitral regurgitation underwent a mitral valve repair via right thoracotomy and right femoral cannulation for cardiopulmonary bypass. Due to his age and health status, the anesthetic was planned to facilitate early extubation. Immediately on arrival to the intensive care unit, the patient complained of severe right calf pain with decreased sensation of the plantar foot. Read More

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February 2021

Postoperative lumbar paraspinal compartment syndrome.

BMJ Case Rep 2021 Mar 29;14(3). Epub 2021 Mar 29.

Department of Neurology, University of Chicago, Chicago, Illinois, USA

Lower lumbar paraspinal muscles constitute a compartment as they are surrounded by distinct fascial and bony boundaries. Lumbar paraspinal compartment syndrome is a rare entity, often caused by intense exercise, but also can be a postoperative complication. We present a 60-year-old man with low back pain, numbness in the left lower back and radicular pain in the left lower extremity, which started after a surgery that involved prolonged positioning on the left side 7 years before, and persisted to the day of evaluation. Read More

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Unusual Presentation of Kratom Overdose With Rhabdomyolysis, Transient Hearing Loss, and Heart Failure.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211005069

Quantum HC, Navicent Health, Macon, GA, USA.

Kratom mainly grows in Southeast Asia. It is widely used for pain management and opioid withdrawal, which is available online for cheaper prices. Alkaloids extracted from kratom such as mitragynine and 7-hydroxy mitragynine exhibit analgesic properties by acting through µ receptors. Read More

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Lacertus syndrome: Use of pre- and post-exercise MRI to aid in diagnosis and treatment.

Radiol Case Rep 2021 May 4;16(5):1113-1117. Epub 2021 Mar 4.

The Hand and Upper Extremity Center of Georgia Atlanta, GA, USA.

Lacertus syndrome is a chronic exertional compartment syndrome of the forearm that is unlike exertional compartment syndrome of the lower extremity. It differs from traditional exertional compartment syndrome in terms of the anatomy, symptoms and physical exam findings. This is a case where dynamic magnetic resonance imaging is used to confirm the diagnosis rather than relying solely on a clinical diagnosis or invasive compartment pressure monitoring. Read More

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Continuous External Tissue Expansion Closure Technique for Management of Forearm Compartment Syndrome Releases and Simple Upper-Extremity Wounds.

J Hand Surg Am 2021 Mar 12. Epub 2021 Mar 12.

Division of Hand Surgery, Department of Orthopedic Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address:

Upper-extremity wounds from various etiologies such as trauma and fasciotomies can prove to be problematic for the upper-extremity surgeon. These defects can result in considerable morbidity often requiring prolonged wound care and the eventual use of skin grafting from a separate painful donor site. Tissue expansion takes advantage of the viscoelastic properties of skin to provide additional tissue for reconstruction. Read More

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An 84-Year-Old Man with Acute Atraumatic Compartment Syndrome of the Upper Extremity Due to Streptococcus pyogenes Cellulitis.

Am J Case Rep 2021 Mar 12;22:e929176. Epub 2021 Mar 12.

Department of Surgery, Saint Agnes Medical Center, Fresno, CA, USA.

BACKGROUND Acute compartment syndrome represents a surgical emergency to restore blood supply by fasciotomy and decompression. Compartment syndrome is most commonly associated with crush-related injuries and fractures; however, other non-traumatic etiologies can occur. This report illustrates a rare case of acute atraumatic compartment syndrome of the upper extremity due to Streptococcus pyogenes cellulitis in an 84-year-old man, presenting a challenging clinical scenario. Read More

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Neonatal Forearm Compartment Syndrome Secondary to Intrauterine Brachiocephalic Arterial Thrombosis: A Case Report.

JBJS Case Connect 2021 03 5;11(1). Epub 2021 Mar 5.

Department of Orthopaedic Surgery, Carilion Clinic, Roanoke, Virginia.

Case: A newborn presented with necrotic skin lesions and contractures of the right upper extremity. Ultrasonography indicated the presence of a brachiocephalic artery thrombosis, and clinical examination demonstrated a neonatal forearm compartment syndrome. Surgical treatment included decompressive fasciotomy of the right forearm. Read More

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Idiopathic spontaneous compartment syndrome of the right lower limb: a case report.

J Med Case Rep 2021 Mar 3;15(1):100. Epub 2021 Mar 3.

National Hospital of Sri Lanka, Colombo, Sri Lanka.

Background: Acutely painful lower limb is a common presentation to the emergency department, and acute compartment syndrome is an important differential diagnosis to consider given the correct predisposing history and clinical presentation. However, idiopathic spontaneous compartment syndrome is an uncommon occurrence.

Case Presentation: A 54-year-old Caucasian man with no previous comorbidities presented with acute right-sided lower limb pain with classical symptoms showing gradual evolution. Read More

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Leg Compartment Syndrome Complicating Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis: A Case Report.

Am J Case Rep 2021 Feb 27;22:e927082. Epub 2021 Feb 27.

Department of Orthopedics, University of Alabama at Birmingham, Birmingham, AL, USA.

BACKGROUND Lower-extremity compartment syndrome (CS) is a rare yet devastating complication of posterior spinal fusion. We present our case to discuss this occurrence and possible risk factors. CASE REPORT An obese 15-year-old boy with adolescent idiopathic scoliosis underwent posterior spinal instrumentation and fusion, which was complicated by loss of 5000 mL of blood. Read More

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February 2021

Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome.

Cureus 2021 Jan 19;13(1):e12792. Epub 2021 Jan 19.

Surgery, DHR Health Surgery Institute, McAllen, USA.

Acute compartment syndrome (ACS) is a medical emergency that remains under-recognized and understudied. This study aimed to identify risk factors for the traumatic and non-traumatic presentation of ACS within a majority Hispanic population. A four-year retrospective analysis of medical records in a single institution revealed 26 with traumatic and 21 non-traumatic patients presenting with ACS. Read More

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January 2021

Acute Management of Trimalleolar Fracture.

Cureus 2021 Jan 6;13(1):e12536. Epub 2021 Jan 6.

Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.

Extremity trauma is a common emergency department presentation. The authors report a case of an elderly woman who sustained a trimalleolar ankle fracture. Emergency department care includes stabilization of the fracture with a splint, with careful assessment of neurovascular status. Read More

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January 2021

A 47-Year Old Woman With Rapidly Progressive Hypoxemic Respiratory Failure.

Chest 2021 Feb;159(2):e69-e73

Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL.

Case Presentation: A 47-year-old Hispanic woman presented to a pulmonology clinic with 2 weeks of cough productive of white sputum and worsening dyspnea on exertion, requiring increasing supplemental oxygen. In addition, she reported fatigue, night sweats, diffuse myalgias, and extremity weakness. She denied hemoptysis, fevers, chills, weight loss, or rash. Read More

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February 2021

Predictors of Improvement After Fasciotomy for Treatment of Chronic Exertional Compartment Syndrome of the Lower Extremity.

Sports Health 2021 Feb 9:1941738120984109. Epub 2021 Feb 9.

Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.

Background: Previous studies have demonstrated the effectiveness of lower extremity fasciotomies in treating chronic exertional compartment syndrome (CECS). However, not all patients have demonstrated the same level of symptom improvement.

Hypothesis: Specific patient variables will lead to enhanced functional improvement after fasciotomy for CECS of the lower extremity. Read More

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February 2021

Upper Extremity Hematoma: An Atypical Case of Compartment Syndrome.

Cureus 2021 Jan 3;13(1):e12453. Epub 2021 Jan 3.

Emergency Medicine, OhioHealth Doctors Hospital, Columbus, USA.

Compartment syndrome is a potentially life- or limb-threatening condition that carries high morbidity if not promptly diagnosed and treated. This case is an atypical presentation demonstrating why a high index of suspicion, prompt surgical consultation, and intervention is required if compartment syndrome is suspected. Read More

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January 2021

The majority of major amputations after resuscitative endovascular balloon occlusion of the aorta are associated with preadmission trauma.

J Vasc Surg 2021 Feb 4. Epub 2021 Feb 4.

Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass. Electronic address:

Objective: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potentially life-saving intervention. However, recent reports of associations with limb loss and mortality have called its safety into question. We aimed to evaluate patient and hospital characteristics associated with major amputation and in-hospital mortality among patients undergoing REBOA for trauma. Read More

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February 2021

Stimulated biofeedback training for a child with Becker muscular dystrophy and compartment syndrome in the left forearm.

Physiother Theory Pract 2021 Feb 5:1-6. Epub 2021 Feb 5.

Faculty of Medicine, Department of Pediatrics, Pediatric Neurology, Dokuz Eylül University, İzmir, Turkey.

: Muscular dystrophy negatively affects ambulation, mobility, self-care, and community involvement. Neonatal compartment syndrome (NCS) causes loss of muscle strength, sensory problems, and limb dysfunction. Patients with Becker Muscular Dystrophy (BMD) and/or NCS may benefit from individualized rehabilitation to improve function. Read More

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February 2021