Acute compartment syndrome of forearm without facture in a toddler
Autor: | Ajaydeep Sud, Manoj Kumar, Jai Prakash Khatri, Munish Sood |
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Rok vydání: | 2018 |
Předmět: |
deep volar compartment
medicine.medical_specialty lcsh:V business.industry medicine.medical_treatment lcsh:R Analgesic lcsh:Medicine Acute compartment syndrome Fasciotomy Compartment pressure medicine.anatomical_structure Forearm Anesthesia Orthopedic surgery Medicine Toddler lcsh:Naval Science business Compartment (pharmacokinetics) fasciotomy paediatric forearm Pediatric population |
Zdroj: | Journal of Marine Medical Society, Vol 20, Iss 1, Pp 63-66 (2018) |
ISSN: | 0975-3605 |
DOI: | 10.4103/jmms.jmms_58_17 |
Popis: | Acute compartment syndrome is an orthopedic emergency. In pediatric population, there should be a high index of suspicion for its early detection, especially when it is not associated with a fracture. We present here a case of a toddler, who developed acute compartment syndrome of forearm following a trivial trauma without fracture. Pain out of proportion and increased analgesic requirement are fairly reliable signs and should raise the suspicion of compartment syndrome for the treating surgeon. Despite various methods being available for measurement of intracompartment pressure, the diagnosis largely remains clinical. Ability to actively contract the muscle in the presence of elevated compartment pressure is an indicator of the viability of muscle. The case has been presented to sensitize the young surgeons regarding the possibility of compartment syndrome following simple fall without fracture. The clinical condition was timely diagnosed, and immediate surgical decompression resulted in good functional recovery. |
Databáze: | OpenAIRE |
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