Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique

Ramprasath, Dhurvas Ramlal; Thirunarayanan, V; David, Jean-Marc; Anbazhagan, S.

doi:10.5704/moj.1603.001

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…In our review, measurement of compartment pressures occurred in 12 (36.4%) cases. Although there are potentially numerous limitations to compartment pressure monitoring [57], many have shown ICP monitoring to be accurate, sensitive, and reliable with various available techniques [44,58]. In cases of diagnostic uncertainty or where the patient is unable to cooperate with the examination, ICP monitoring is important to avoid a delay in diagnosis [44,59].…”

Section: Discussionmentioning

confidence: 99%

Atraumatic Bilateral Acute Compartment Syndrome of the Lower Legs: A Review of the Literature

Warren¹,

Dhillon²,

Muscat³

et al. 2021

Cureus

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Bilateral acute compartment syndrome of the legs is a very rare presentation that requires emergency surgical intervention. Atraumatic bilateral cases are almost unheard of in medicine. There is currently no link between compartment syndrome and cognitive impairment or mental health.A systematic literature search was performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines using the following keywords in multiple databases: compartment syndrome, atraumatic, spontaneous, bilateral, both, lower leg, acute, compartmental pressure, and fasciotomy. Atraumatic, bilateral, acute, and confirmed compartment syndrome cases were included.In total, 33 cases of atraumatic bilateral acute compartment syndrome (ABACS) were identified, of those 72.7% of cases were males. A form of cognitive impairment was found in 66% of cases. The medical history of the cases included substance abuse (nine patients), mental health illness (seven patients), and hypothyroidism (four patients). Within the reports, there was evidence of a misdiagnosis or delayed management in 19 cases (57.6%). Creatinine kinase (CK) was measured in 28 cases with a mean CK of 110,893 IU/L. Compartment pressure measurements were used in only 12 cases. A total of 29 cases were managed with bilateral four-compartment fasciotomy. This review highlights that ABACS is a condition with high rates of misdiagnosis or delay in treatment. Associations found included patients with cognitive impairment on presentation, mental health conditions, substance misuse, and elevated levels of CK. In addition, this review demonstrates that this condition is less rare than previously thought with serious morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Atraumatic Bilateral Acute Compartment Syndrome of the Lower Legs: A Review of the Literature

Warren¹,

Dhillon²,

Muscat³

et al. 2021

Cureus

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Noninvasive Technique to Monitor the Pressure under a Cast: A Mobile Application-Friendly Bluetooth Pressure Sensor

Mahiroğulları

Sürücü

Çerci

et al. 2022

International Journal of Clinical Practice

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Aim. The purpose of this study was to design a sensor that could monitor the skin-cast contact surface pressure (SCCSP) of a limb under a cast and inform the user via a mobile application when the pressure increases. Methods. In this experimental study, an infant sphygmomanometer cuff was initially placed on the forearm of 10 volunteers. A pressure sensor with a Bluetooth chip was then placed on the volar aspect of the forearm. Short arm plaster was applied with synthetic cast material. The SCCSP under the plaster was measured by the sensor and the measured values were transmitted to a mobile application via a Bluetooth chip. The mobile application processed the data from the chip and converted it to mmHg. Results. Intracompartmental pressure (ICP) values were categorized as 0, 10, 20, 30, 40, 50, 60, and 75 mmHg. The highest SCCSP was 75 mmHg CP, while the lowest was 0 mmHg CP. The correlation coefficient of the mean pressure values was 0.993 ( p ≤ 0.001 ) (SD 0.002, range 0.989–0.997), and there was a significant relationship between ICP and SCCSP values ( p ≤ 0.05 ). Conclusion. We can monitor SCCSP, detect limb swelling, and notify the user via a mobile application by using Bluetooth pressure sensors.

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Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique

Cited by 2 publications

References 24 publications

Atraumatic Bilateral Acute Compartment Syndrome of the Lower Legs: A Review of the Literature

Atraumatic Bilateral Acute Compartment Syndrome of the Lower Legs: A Review of the Literature

Noninvasive Technique to Monitor the Pressure under a Cast: A Mobile Application-Friendly Bluetooth Pressure Sensor

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