A Simple Method for Tissue Pressure Determination

Whitesides, Thomas E.

doi:10.1001/archsurg.1975.01360170051006

Cited by 180 publications

(75 citation statements)

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“…Johnson and Chalkiadis [21] reviewed cases of paediatric patients with working epidural anaesthesia and found no clear evidence that this kind of regional anaesthesia had delayed the diagnosis of an ACS. Compartment pressure measurement can be made for example with the wick catheter technique modified by Mubarak et al [22], the simple needle manometry by Whitesides et al [23], infusion technique by Matsen et al [24], slit catheter technique modified by Barnes et al [25], side ported needles [26] etc. A single measurement in one compartment seems to adequately estimate pressures in the compartments at least of the lower leg [18].…”

Section: Discussionmentioning

confidence: 99%

Acute compartment syndrome in children: a case series in 24 patients and review of the literature

Erdös

Dlaska

Szatmary

et al. 2010

International Orthopaedics (SICOT)

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Trauma-associated acute compartment syndrome (ACS) of the extremities is a well-known complication in adults. There are only a handful of articles that describe the symptoms, the diagnostic procedure and treatment of ACS in children. The aim of this study was to analyse the diagnostic procedures in children compared to adolescents with ACS to obtain evidence for the diagnosis, treatment and outcome of children with ACS. Twenty-four children and adolescents with ACS have been treated at the

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Section: Discussionmentioning

confidence: 99%

Acute compartment syndrome in children: a case series in 24 patients and review of the literature

Erdös

Dlaska

Szatmary

et al. 2010

International Orthopaedics (SICOT)

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“…The absence of fracture may result in a delayed diagnosis and increased risk of muscle necrosis [10,29]. The needle compartment pressure measurement is the golden standard to objectify raised compartment pressures [7,8,12], especially in case of constrained mental state of the patient. The most common mechanism is a closed tibal shaft fracture [23].…”

Section: Discussionmentioning

confidence: 99%

“…No major change in the theory of the underlying pathophysiology has been observed in the last decades [4][5][6][7][8]. It may be caused by either a volume increase within a closed fascial space, or externally applied pressure that compresses muscular structures8.…”

Section: Introductionmentioning

confidence: 99%

Does a pressure increase translate into an adjacent compartment? A cadaver study

et al. 2014

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“…7 The principle in this method was measuring the compartment pressure by adjusting the syringe, a small quantity of saline was introduced into the compartment to be measured, so that this saline is in continuity with the tissue fluid of the compartment. This pressure is directly read from the manometer, which is in direct continuity with pressure within the saline column and the air column in the syringe.…”

Section: Methodsmentioning

confidence: 99%

Compartment pressure changes after closed fractures of tibia

Pillai

2016

Int J Res Orthop

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Background: Compartment syndrome is a potentially devastating situation. Raised intracompartmental pressure has been implicated as the primary pathogenic factor in compartment syndrome. The purpose of the study was early detection of compartment syndrome and corroborating the findings with other physical signs and symptoms, to prevent the onset of ischaemia and subsequent tissue changes that lead to crippling deformities.Methods: The present study was conducted in the Department of Orthopaedics, Pushpagiri medical college hospital, Thiruvalla over a period of 12 months. Closed fractures of tibia admitted to the casualty unit within 36 hours of injury were selected for the study. A total of 24 patients were included with the majority in the age group of 31– 45 years. Whitesides technique was used to measure the compartment pressure. A differential pressure of less than 30 mm Hg was taken as the criterion for diagnosis of compartment syndrome. Results: The present study included 24 patients with affected 25 limbs.15 out of 25 limbs were with lower third fractures (60%) followed by upper third 6 (24%) and middle third 4 (16%). Out of 25 limbs 20 cases (80%) had associated fracture of fibula and 5 (20%) were not associated. In this study, out of 32% cases with increased compartment pressure, one case with upper third fracture (above 45 mm Hg) and one of the case with middle third fracture (20-30 mm Hg) with associated fibula had underwent immediate fasciotomy.Conclusion: Compartment pressure measurement is a very good index for predicting and preventing compartment syndrome. Fasciotomy to fully decompress all involved compartments is the definitive treatment for compartment syndrome in the great majority of cases. Delays in performing fasciotomy increase morbidity.

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A Simple Method for Tissue Pressure Determination

Cited by 180 publications

References 0 publications

Acute compartment syndrome in children: a case series in 24 patients and review of the literature

Acute compartment syndrome in children: a case series in 24 patients and review of the literature

Does a pressure increase translate into an adjacent compartment? A cadaver study

Compartment pressure changes after closed fractures of tibia

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