Acute forearm compartment syndrome: Report of three cases and a review of the literature

Sparkes, Joseph; Kingston, Ross; Keogh, Peter; O’Flanagan, S. J.

doi:10.1007/bf03166920

Cited by 5 publications

(2 citation statements)

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“…There is controversy whether an invasive pressure measurement should be performed on a routine basis [31] to establish the diagnosis. Ortiz and Berger [23] and Sparkes et al [32] suggest that the diagnosis of forearm compartment syndrome can be solely based on clinical findings, particularly with pain on passive stretch [17].…”

Section: Discussionmentioning

confidence: 99%

Acute Carpal Tunnel Syndrome Secondary to Iatrogenic Hemorrhage. A Case Report

Kokosis

Blueschke

Blanton

et al. 2010

Hand (New York, N,Y.)

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Carpal tunnel syndrome is a common compression neuropathy of the median nerve. Acute carpal tunnel syndrome (aCTS) is rare, associated with a variety of conditions. In this case report we present a patient who developed aCTS and volar forearm compartment syndrome after a radial artery line placement, while receiving intravenous heparin. The patient underwent immediate forearm fasciotomy and surgical release for restoration of nerve function, which resulted in improved hand function and mild residual median nerve neuropathy. There is controversy whether to discontinue or not anticoagulation in a patient with aCTS. In our patient, heparin therapy was restarted on the second postoperative day.

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Section: Discussionmentioning

confidence: 99%

Acute Carpal Tunnel Syndrome Secondary to Iatrogenic Hemorrhage. A Case Report

Kokosis

Blueschke

Blanton

et al. 2010

Hand (New York, N,Y.)

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“…Four articles identified blunt trauma in 44 patients as the most prevalent cause of soft tissue trauma-related ACS, leading up to 20.9% of soft tissue-injured patients [ 57 , 82 , 85 , 86 ]. Three identified 39 patients with burns (18.6%) [ 61 , 76 , 85 ], and six reported 36 patients with ACS (17.1%) that occurred after crush injury [ 65 , 73 , 74 , 80 , 85 , 86 ]. Two did not specify the extent of the trauma, reporting generic soft tissue injuries in 37 patients as the cause of ACS (Table 2 ) [ 51 , 53 ].…”

Section: Soft Tissue Injury-related Acsmentioning

confidence: 99%

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

et al. 2022

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Objectives Acute compartment syndrome (ACS) can be caused by multiple causes that affect people of different ages. It is considered an orthopedic emergency condition that requires immediate diagnosis and surgical intervention to avoid devastating complications and irreversible damages. This systematic review aimed to present the etiology of trauma-related forearm ACS. Methods A systematic review was performed on four different databases: Embase, Medline, Cochrane Central Register of Controlled Trials (CENTRAL) and Cochrane Database of systematic review register databases via Ovid, with no restriction on dates (last date was June 30, 2021). It included all the studies containing data about the etiology of trauma-related forearm ACS. Results A total of 4893 articles were retrieved: 122 met the inclusion criteria, 39 were excluded, 25 were out of scope and 14 had insufficient details. Hence, this review constituted 83 articles and 684 patients. The etiology of ACS causing forearm ACS was classified into three groups: fracture-related, soft tissue injury-related and vascular injury-related. The fracture-related group was the most common group (65.4%), followed by soft tissue injury (30.7%), then vascular injuries (3.9%). Furthermore, supracondylar humerus fractures were the most common cause of fractures related to forearm ACS. Blunt traumas were the most common cause of soft tissue injuries-related forearm ACS, and brachial artery injuries were the most common cause of vascular-related forearm ACS. Conclusion Frequent assessment of patients with the most prevalent etiologies of forearm ACS is recommended for early detection of forearm ACS and to save limbs.

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