Week 5 Compartment Syndrome- Johns Flashcards
1
Q
A condition in which increased pressure within a limited space compromises the circulation and function of the tissues within that space
A
Compartment syndrome
2
Q
Effects of compartment syndromes
A
Ischemia- reduced tissue perfusion
Necrosis- results in cell death (causes increase in CRP)
- ORTHOPEDIC EMERGENCY!
3
Q
Most common causes of compartment syndrome?
A
- Fractures (closed and open) -incidence is directly proportional to the degree of injury to soft tissue and bone
- Blunt trauma
4
Q
Time line for compartment syndrome
A
3-4 hrs = reversible changes
6 hrs = variable damage
8 hours = irreversible changes
5
Q
What clues would help you diagnose compartment syndrome?
A
- pain out of proportion
- palpably tense compartment
- pain with passive stretch
6
Q
Treatment for compartment syndrome?
A
Fasciotomy- of ALL COMPARTMENTS
- bulky compression dressing and splint
- close after 3 to 5 days
7
Q
Medial tibial syndrome
A
insertion of the soleus
8
Q
Worrisome signs of compartment syndrome?
A
Pallor
pulselessness
paralysis
paraesthesia
