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Review

Diagnostic Dilemma for the Orthopedic Surgeon

Michael Maher  1 , Cyril Mauffrey  2
Cyril Mauffrey  1 , David J. Hak  2 , Murphy P. Martin III  3
, editors.
In: Compartment Syndrome: A Guide to Diagnosis and Management [Internet]. Cham (CH): Springer; 2019. Chapter 1.
.
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Review

Diagnostic Dilemma for the Orthopedic Surgeon

Michael Maher et al.
Free Books & Documents

Excerpt

  1. 1.

    Compartment syndrome is associated with serious long-term morbidity.

  2. 2.

    Appropriate treatment is invasive and involves its own risks.

  3. 3.

    The presentation of compartment syndrome is variable.

  4. 4.

    The diagnosis of compartment syndrome relies largely on clinical findings.

  5. 5.

    Pressure monitoring may provide supplemental but imperfect diagnostic guidance.

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References

    1. Seddon HJ. Volkmann’s ischaemia in the lower limb. J Bone Joint Surg Br. 1966;48(4):627–36. - PubMed
    1. Owen R, Tsimboukis B. Ischaemia complicating closed tibial and fibular shaft fractures. J Bone Joint Surg Br. 1967;49(2):268–75. - PubMed
    1. O’Toole RV, Whitney A, Merchant N, Hui E, Higgins J, Kim TT, Sagebien C. Variation in diagnosis of compartment syndrome by surgeons treating tibial shaft fractures. J Trauma. 2009;67(4):735–41. - PubMed
    1. Finkelstein JA, Hunter GA, Hu RW. Lower limb compartment syndrome: course after delayed fasciotomy. J Trauma. 1996;40(3):342–4. - PubMed
    1. Sheridan GW, Matsen FA 3rd. Fasciotomy in the treatment of the acute compartment syndrome. J Bone Joint Surg Am. 1976;58(1):112–5. - PubMed

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