Compartment Syndrome Flashcards
Central foot compartment muscles
FDB Lumbricals QP AD Hallucis FDL PL TP
Medial foot compartment muscles
AB Hallucis FHB FHL PL TP
Interosseus compartment muscles
Interossei muscles
Lateral foot compartment muscles
AB DM
FDM
Manoli and Weber described what extra foot muscle compartment? What muscles are included?
Calcaneal compartment
-QP muscle
Explain the clinical findings associated with compartment syndrome
Recalcitrant pain Tenseness Sensory deficits Motor Deficits Pain w/ passive stretch
Explain the pathophysiology of compartment syndrome
Bleeding and edema lead to increased pressure. The local venous pressure increased and this reduces the AV gradient. There is a collapse of veins and loss of blood flow. Microvascular compromise and myoneural damage.
Normal resting pressure
0-8
Monitoring zone for resting pressure
30-40
Pathologic clinical symptoms
40 mmHg in the presence of clinical symptoms
Additional studies to order for compartment syndrome
ECG UA CBC Electrolytes BUN/Cr CK
If more than 2 compartments are involved, what should you do?
Decompress all the compartments
Post-op management for compartment syndrome
Monitor pressure Patman-Thompson Technique Splinting Passive ROM Delayed closure
Describe the Patman-Thompson
Pack the wound less and less everyday. Then use steri-strips to close the wound more and more each day
Complications of compartment syndrome
Inadequate decompression
Volkmann’s contracture
Infection
Myoglobinuric renal failure
