Neurological deficit was the most common complication (21%).Ĭopyright © 2011.
#Forearm compartment syndrome treatment skin
In cases reporting wound management, postfasciotomy skin grafting was needed in 61% of the cases, whereas secondary closure was performed in 39% of the cases. Fasciotomy was the preferred method of treatment (73%). Compartment syndrome can arise from three causes in the burn patient: (1) formation of inelastic, circumferential eschars around burned limbs and the associated extravasation of fluids to the. The intracompartmental pressure was measured using various techniques including a wick catheter, slit catheter, the Whitesides technique, and the Stryker compartment pressure measuring device. The diagnostic criterion used was clinical assessment alone in 48%, and in 52%, a combination of measurement of intracompartmental pressure and clinical assessment was used. A family history of vein disease can make you more. The most common cause of compartment syndrome of the forearm in children was a supracondylar fracture, while in adults the most common cause was a fracture of the distal radius. A scaly, rough, raised patch of skin that may be red, itchy, and painful or causes no discomfort at all. Acute compartment syndrome is a medical emergency that needs urgent surgery. The high pressure can decrease blood flow, preventing nourishment and oxygen from reaching nerve and muscle cells. Complications may include muscle loss, amputation, infection, nerve damage, and kidney failure. Key facts Compartment syndrome is a painful syndrome caused by dangerously high pressure build up in a group of muscles. The muscle compartment is cut open to allow muscle tissue to swell, decrease pressure and restore blood flow. In this study, papers were analyzed for causes, diagnosis, treatment, methods of wound closure, functional outcome, and complications. Surgery (fasciotomy) is the only treatment for acute compartment syndrome. All were retrospective studies (level IV evidence). Applying our inclusion criteria, we found 12 articles for a total of 84 cases using the MEDLINE (Ovid) database. In this systematic review, we examined the available evidence regarding compartment syndrome of the forearm.
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