Compartment syndrome developed due to the plaster cast :Three cases report
Abstract
Compartment syndrome can occur as a result of the complication of the plaster cast applications ,which are frequently used for fracture stabilization. This syndrome occurs due to increased compartment volume or shrinking of compartment area because of edema, hemorrage or high pressure of tissues. All of these mechanisms causes arteriolar compression, resulting nerve and muscle ischemia. Intensive and continuous pain is common and limits the motions of the patient and increases with passive stretching of the involved muscles. Swelling of limb, change in skin color, peripheral vasculatory failure symptoms such as pallor,weak arterial pulsation and as a result of peripheral nerve damage, sensorimotor deficit can also be observed. Clinical evaluation, measure of pressure within the compartment, and electroneuromyography (ENMG) can be used for the diagnosis. In addition to treatment of to the treatment of etiology and pain, further treatment options such as fasciotomy, physiotherapy modalities, tendon transfers, can be performed. In this case report, we will discuss three patients with nerve lesions as a result of the compartment syndrome that developed due to the plaster casting of bone fractures.
Keywords
Kaynakça
- Tollens T, Janzing H, Broos P. The pathophysiology of the acute compartment syndrome. Acta Chir Belg. 1998; 98:171-5.
- Tiwari A, Haq Al, Myint F, Hamilton G. Acute compartment syndromes. Br J Surg. 2002; 89:3974
- McQueen MM, Gaston P, Court-Brown CM. Acute compartment syndrome. Who is at risk? J Bone Joint Surg Br. 2000; 82: 200–3.
- Garayoa SA, Romero-Muñoz LM, Pons-Villanueva J. Acute compartment syndrome of the forearm caused by calcific tendinitis of the distal biceps. Musculoskelet Surg. 2010; 94:137-9.
- Moghtaderi A, Alavi-Naini R, Azimi H. Compartment syndrome: an unusual course for a rare disease. Am J Trop Med Hyg. 2005; 73:450-2.
- Botte MJ, Gelberman RH. Acute compartment syndrome of the forearm. Hand Clin. 1998;14:391– 40
- Schubert AG. Exertional compartment syndrome: review of the literature and proposed rehabilitation guidelines following surgical release. Int J Sports Phys Ther. 2011; 6:126-41.
- Tucker AK. Chronic exertional compartment syndrome of the leg. Curr Rev Musculoskelet Med. 2010; 3:32-7.
- Boles CA, Kannam S, Cardwell AB. The forearm: anatomy of muscle compartments and nerves. AJR Am J Roentgenol. 2000; 174:151-9.
- Pantle HA, Chanmugam A. Case report: acute forearm compartment syndrome due to sudden, forceful supination of the hand. J Emerg Med. 2010;39:143-6. Chandraprakasam T, Kumar RA.
