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condition that occurs when pressure within the muscles builds WHAT Develops when swelling or bleeding within a compartment. The fascia does not stretch pressure on the capillaries, nerves, and muscles in the compartment Blood flow to muscle and nerve cells is disrupted Classified into: o Acute - develops after a severe injury o Chronic - athletic e ertion ! e ertional CAUSES ACUTE o "racture o Badly bruised muscle o Crush injuries o Constricting bandage o #nabolic steroids use CHRONIC o $epetitive e ercise eg running, cycling, bi%ing etc
&ain &aresthesias The muscle may feel tight or full 'umbness or paralysis
5 Ps ALI
Chronic o &ain or cramping during e ercise o 'umbness o Difficulty moving the foot o (isible muscle bulging
INVESTIGATION $enal function Blood urea nitrogen )B*'+ Creatinine phospho%inase Compartment pressure meter Doppler ultrasound
TREATMENT Acute o ,urgical emergency - fasciotomy Chronic o Conservatives - &hysical therapy, orthotics )inserts for shoes+, and anti-inflammatory medicines o Surgical - elective procedure fasciotomy
GRA!ING 9rade : )low grade+ 5 ,imilar to enchondroma ; cellularity is higher, with occasional plump nuclei with open chromatin structure < 9rade :: )intermediate grade+ 5 :ncreased cellularity; distinct nucleoli are present in most cells, and foci of my oid change may be seen < 9rade ::: )high grade+ =igh cellularity, prominent nuclear atypia, and the presence of mitosis TREATMENT $adiotherapy Chemotherapy ,urgical therapy