Compartment syndrome Case - Johns Flashcards
Treatment for acute compartment syndrome?
Fasciotomy, probably of all the compartments of the lower leg. (not just affected compartment)
What is the most important part of the clinical evaluation for compartment syndrome?
Pain - disproportionate to the actual injury
Other features like pallor, pulselessness, paralysis, paraesthesia etc. appear very late and we should not wait for these things
Where do stress fractures occur most often?
Bones of lower leg and foot
Usually overuse injury
Is a presssure measurement always necessary for CS diagnosis?
CS can many times be made by PE without tissue-pressure measurements. Pressure measurements can help the treating surgeon in his clinical decision making process in these situations, but in itself does not make the diagnosis of CS. If a CS is clinically evident do not waste valuable time trying to locate the equipment or set up for the pressure measurement, perform the indicated surgical decompression ASAP
