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Intracompartmental pressure monitoring of leg injuries. An aid to management.

Authors
  • Allen, M J
  • Stirling, A J
  • Crawshaw, C V
  • Barnes, M R
Type
Published Article
Journal
The Journal of bone and joint surgery. British volume
Publication Date
Jan 01, 1985
Volume
67
Issue
1
Pages
53–57
Identifiers
PMID: 3968144
Source
Medline
License
Unknown

Abstract

Acute compartment syndromes often develop insidiously and are often recognised too late to prevent permanent disability. Management is difficult as the compartment involved is seldom clinically apparent. By continuously monitoring the intracompartmental pressure these problems can be avoided: transient compartment syndromes can be differentiated from established ones and the correct compartment can be surgically decompressed. Pressure monitoring techniques were used in 28 patients; three developed a compartment syndrome requiring surgical intervention, seven had a temporary increase of pressure and in 18 the pressure remained unaltered. Of the three with compartment syndromes, one was unusual in that it affected the thigh and another, unique in our experience, affected both the thigh and the calf. Intracompartmental pressure monitoring significantly altered the management of two cases giving successful results with minimal intervention.

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