Surgical Demographics of Acute Hand Compartment Syndrome

Dyer, George S.M.; Keudell, Arvind von; Zhang, Dafang

doi:10.1177/15589447221084012

Cited by 3 publications

(2 citation statements)

References 12 publications

(29 reference statements)

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“…This pressure elevation surpasses the perfusion pressure, leading to acute ischemia of the tissues within the compartment and the development of acute symptoms. 1,2 It can manifest in different anatomical locations, including the lower leg, 3,4 forearm, 5,6 thigh, 7 upper arm, 8 and foot. 9 Causes of osteofascial compartment syndrome can be divided into traumatic and non-traumatic factors.…”

Section: Introductionmentioning

confidence: 99%

Treatment of bilateral Posterior Tibial Compartment Syndrome using a Novel Surgical Approach: A Case Report of the Posterior Approach

Li,

zeng,

et al. 2024

Orthopedic Reviews

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Osteofascial compartment syndrome is a serious surgical emergency that requires prompt diagnosis and treatment. It presents a challenge for surgeons due to its high disability rate and difficult management. Early fasciotomy decompression is crucial in preventing severe complications. Classic fasciotomy approaches for tibial osteofascial compartment syndrome include double-incision and single-incision techniques.This paper presents a case of a 24-year-old female with bilateral tibial posterior compartment syndrome resulting from prolonged squatting after alcohol intoxication, which is a relatively rare mechanism. We employed an innovative posterior approach to manage the patient with tibial posterior compartment syndrome. Ultimately, we successfully preserved the patient’s legs and achieved a good functional recovery.The paper reported a rare case with bilateral posterior tibial compartment syndrome resulting from squatting for 10 hours after alcohol intoxication. The patient achieved favorable outcomes in lower limb function following treatment with a new fasciotomy approach, the posterior approach.The new approach for treating posterior tibial compartment syndrome can serve as a valuable reference for surgeons.

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Section: Introductionmentioning

confidence: 99%

Treatment of bilateral Posterior Tibial Compartment Syndrome using a Novel Surgical Approach: A Case Report of the Posterior Approach

Li,

zeng,

et al. 2024

Orthopedic Reviews

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“…2 Osteofascial compartment syndrome is life-threatening and requires timely diagnosis and urgent surgical treatment. 3 Well leg compartment syndrome (WLCS) is a subtype of osteofascial compartment syndrome caused by the prolonged maintenance of a fixed position during iatrogenic surgery. 4 If diagnosed in a timely manner, the treatment effect of WLCS is better.…”

mentioning

confidence: 99%

Well Leg Compartment Syndrome in the Thigh and Calf Caused by a Forced Prone Position after Syncope

Zhou,

Wen,

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Summary: An 80-year-old male patient was admitted to the hospital due to swelling in the right lower limb with local blisters caused by a forced prone position for 9 hours after syncope. The patient got up in the middle of the night and fainted beside the bed due to a transient cerebral ischemia attack. The front of the right thigh and calf contacted the bed edge, presenting a forced prone position for 9 hours. The physical examination revealed swelling of the right lower limb, accompanied by local tension blisters, and the tension of the thigh and calf was increased. The patient had a history of diabetes, and no lower limb artery or vein thrombosis was found on B-ultrasound. Based on these findings, the patient was diagnosed with well leg compartment syndrome in the right thigh and calf. When the patient was admitted, the creatine phosphokinase level was 62,300 u/L, and the creatinine level was 2.66 mg/dL. Besides, the urea level of this patient was 11 mmol/L. He developed anuria with a high creatinine level, indicating acute kidney injury. Subsequently, temporary hemodialysis was performed for treatment. The patient underwent fasciotomy of the right thigh and calf, and the vacuum-assisted closure device was adopted for wound treatment. After 2 weeks of decompression, the wound was directly sutured under tension. After renal replacement therapy, the creatine phosphokinase level of this patient was 102 u/L, and the creatinine level was 95 mol/L, which tended to be normal.

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