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  • Compartment Syndrome

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    rinchee
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    Compartment syndrome is a condition caused by increased pressure within the osteofascial spaces, impairing perfusion and circulation of tissues within these spaces. Increased compartment pressure and venous pressure decrease the arterial-venous gradient, resulting in ischemia of muscles and nerves. It commonly occurs after trauma, especially fractures of the tibia, distal radius, and soft tissue injuries. Clinical diagnosis is based on the six Ps: pain, paresthesia, paralysis, pallor, pulselessness, and pressure. Treatment involves elevating the extremity, loosening tight bindings, frequent monitoring, and potential fasciotomy to release pressure if clinical findings or measured compartment pressures indicate. Complications can include permanent nerve damage, infection, loss of limb, death, or cosmetic

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    Compartment syndrome is a condition caused by increased pressure within the osteofascial spaces, impairing perfusion and circulation of tissues within these spaces. Increased compartment pressure and venous pressure decrease the arterial-venous gradient, resulting in ischemia of muscles and nerves. It commonly occurs after trauma, especially fractures of the tibia, distal radius, and soft tissue injuries. Clinical diagnosis is based on the six Ps: pain, paresthesia, paralysis, pallor, pulselessness, and pressure. Treatment involves elevating the extremity, loosening tight bindings, frequent monitoring, and potential fasciotomy to release pressure if clinical findings or measured compartment pressures indicate. Complications can include permanent nerve damage, infection, loss of limb, death, or cosmetic

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    6 views17 pages

    Compartment Syndrome

    Uploaded by

    rinchee
    Compartment syndrome is a condition caused by increased pressure within the osteofascial spaces, impairing perfusion and circulation of tissues within these spaces. Increased compartment pressure and venous pressure decrease the arterial-venous gradient, resulting in ischemia of muscles and nerves. It commonly occurs after trauma, especially fractures of the tibia, distal radius, and soft tissue injuries. Clinical diagnosis is based on the six Ps: pain, paresthesia, paralysis, pallor, pulselessness, and pressure. Treatment involves elevating the extremity, loosening tight bindings, frequent monitoring, and potential fasciotomy to release pressure if clinical findings or measured compartment pressures indicate. Complications can include permanent nerve damage, infection, loss of limb, death, or cosmetic

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    of 17

    COMPARTMENT SYNDROME

    Ode Irman
    Pengertian
    Tanda dan gejala yang timbul akibat
    peningkatan tekanan interstisial ruang
    osteofasial sehingga menganggu perfusi dan
    sirkulasi serta fungsi jaringan pada ruang
    tersebut
    Pathophysiology
    Increased compartment pressure

    Increased venous pressure

    Decrease A-V gradient resulting in muscle


    and nerve ischemia.
    Demographics
    • Incidence:
    • Men 7.3/100,000
    • Women 0.7/100,000

    • 69% due to trauma


    • 36% fx tibia
    • 9.8% distal radius
    • 23% soft tissue injury without fx
    • 10% on anticoagulants
    Clinical Diagnosis
    • The six ‘Ps’:
    • Pressure/tekanan
    • Pain/nyeri
    • Paresthesia
    • Paralysis/ lumpuh
    • Pallor/pucat
    • Pulselessness/nadi tak terbah
    Stryker Stic System
    • Easy to use
    • Can check multiple compartments
    • Different areas in one compartment
    What is Critical Pressure?
    • >30 mm Hg as absolute number
    Penatalaksanaan
    Tatalaksana Elevasi ekstremitas setinggi jantung
    Longgarkan dan lepaskan ikatan yang ketat
    Evaluasi selama 2 jam setiap 15 menit
    Soft tissue coverage by 5-7 days
    Treatment

    If concerned refer these patients early

    • Fasciotomy if continued clinical findings and/or elevated


    compartment pressure
    Treatment
    Complications
    • Permanent nerve damage
    • Infection
    • Loss of limb
    • Death
    • Cosmetic deformity from fasciotomy

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