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Clinical Cases

Chronic Exertional Compartment Syndrome in a High School Soccer Player

February 18, 2021

This case of a young 15-year-old high school soccer play demonstrates why chronic exertional compartment syndrome should be considered by emergency medicine physicians, coaches, trainers, therapists, and others with patients with more serious pain associated with exercise that does not cease with rest. Abstract Chronic exertional compartment syndrome (CECS) is a condition that commonly affects …

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The Acute Compartment Syndrome of the Lower Leg: A Difficult Diagnosis?

February 9, 2021

The time to diagnosis of compartment syndrome and the time to proper treatment can determine the ultimate outcome for the patient. Though diagnosis can be difficult, it should be treated as a surgical emergency and assessed immediately. Abstract This case looks at three patients who developed acute compartment syndrome of the lower leg. Their diagnoses …

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Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment Syndrome

February 2, 2021

This study aimed to identify risk factors for the traumatic and non-traumatic presentation of Acute Compartment Syndrome (ACS) within a majority Hispanic population by examining the medical records of different patients. Abstract This four-year retrospective analysis of 26 traumatic and 21 non-traumatic Hispanic patient cases presenting with ACS determined that 1) traumatic ACS occurred in …

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Unilateral Exertional Compartment Syndrome in a Pediatric Competitive Figure Skater

January 27, 2021

It is recommended to consistently included compartment syndrome in the differential diagnosis of lower leg pain and the measurement of compartment pressures to ensure the proper diagnosis and treatment which will create greater ease in returning the athlete to competition. Abstract This case represents the importance of consistently including Chronic Exertional Compartment Syndrome (CECS) in …

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A Missed Bilateral, Acute Anterior Exertional Compartment Syndrome of the Leg

January 15, 2021

A rare case of bilateral, acute exertional compartment syndrome due to vigorous exercise highlights the importance of appropriate early suspicion and treatment. Abstract This case presents a bilateral, acute anterior exertional compartment syndrome of the leg and highlights the importance of high clinical suspicion and early treatment. Compartment syndrome can progress rapidly and urgently; therefore, …

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Combined Upper Extremity and Gluteal Compartment Syndrome Following Illicit Drug Abuse: A Retrospective Case Series

January 7, 2021

Healthcare providers must be more aware of drug’s potential to cause compartment syndrome. Studies have shown that illicit drug use has been associated with acute compartment syndrome as obtundation and immobility can lead to an increase in pressure within a compartment. Abstract Compartment syndrome is time sensitive and important to emphasize within any setting of …

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Compartment Syndrome in Athletes

December 28, 2020

You may know the 5 P’s, but it is easy to be fooled. The 5 P’s cannot be used if the patient is obtunded. Pallor, pulselessness, and paralysis are all late findings, and motor weakness can be limited due to pain. It is important to add a definitive pressure measurement to assure a definitive diagnosis …

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Compartment Syndrome: Diagnostic Dilemma for the Orthopedic Surgeon

December 23, 2020

A missed or delayed diagnosis of compartment syndrome can have devastating outcomes for both the patient and the physician.  A patient can suffer severe muscle and nerve damage, which can lead to the potential loss of a limb, while the physician can suffer large legal claims. The time to diagnosis is critical! Abstract The diagnosis …

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Compartment Monitoring in Tibial Fractures

November 2, 2020

During a period of 2 years and 7 months, a total of 116 patients with tibial diaphyseal fractures were monitored for anterior compartment pressure. Using Whiteside’s recommendation measuring delta pressure (30mmHg) as a threshold for fasciotomy, all cases of acute compartment syndrome were properly diagnosed, with no missed cases. If the delta pressure were not …

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Conservative Treatment of Anterior Chronic Exertional Compartment Syndrome in the Military, with a Mid-term Follow-up

October 27, 2020

Using a conservative treatment plan proved successful in returning 65% anterior chronic exertional compartment syndrome (CECS) patients to active duty without surgery. The plan consisted of numerous outpatient treatments such as stretching, massage, supplementation, with a focus on gait retraining. The continuous measuring ability of the C2Dx Indwell Slit Catheter allowed for accurate execution of …

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