Ankle and knee position as a factor modifying intracompartmental pressure in the human leg.

Diagnosis of chronic anterior compartment syndrome in the lower leg

“…However, the wide range of IMP values at rest in our study and the fact that the IMP in the anterior compartment depends on the position of the ankle joint (Gershuni et al 1984) make the use of this parameter alone unsuitable in the diagnosis of ccs .…”

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

“…Using this definition, fasciotomy should be considered whenever P is less than 30 mmHg. The normal compartment pressures in the lower leg of healthy children (13-16 mmHg) were significantly higher than those of adults (0-10 mmHg) [17], because children are in a stage of muscle growth and this increasing volume due to muscle hypertrophy may press against the surrounding fascia [18]. ICP measurement is recommended in young children, unconscious patients, patients with regional nerve blocks and when the clinical signs are equivocal.…”

“…The mean age was 12.9 years (range: 2-18 years). Patients included were classified into two groups according to their age: group A (age 2-14) and group B (age [15][16][17][18]. The group cut-off at the age of 14 was chosen because closure of the epiphyses happens in most humans between the ages of 12-16 years.…”

Intramuscular pressure varies with depth: The tibialis anterior muscle studied in 12 volunteers

“…The position of the investigated limb was kept constant during the experiment because intramuscular pressure in the anterior compartment varies with the position of the ankle joint (Gershuni et al 1984). The knee was flexed 90 degrees to avoid external compression on the leg and to achieve a standard relaxed position which felt comfortable for the subject Korner 1987, Crenshaw et al 1992).…”