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Clinical Cases

Lower Leg Compartment Syndrome after Appendicectomy

October 22, 2020

This case highlights the importance of a child presenting with lower leg pain and increasing analgesic requirements should have an urgent orthopaedic referral to rule out compartment syndrome as the consequences of a delayed diagnosis can be extremely severe. Abstract This case report acknowledges the importance of maintaining a high index of suspicion for compartment …

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Acute Compartment Syndrome of the Extremities

October 21, 2020

In a retrospective study of 1,184 patients investigating the use of continuous intra-compartmental pressure monitoring for the diagnosis of acute compartment syndrome reported an estimated sensitivity of 94%, specificity of 98%, and a negative predictive value of 99%, using the intraoperative clinical findings as the gold standard. Abstract Acute compartment syndrome most often develops soon …

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Delayed Onset of Acute Limb Compartment Syndrome with Neuropathy After Nonarterial Extracorporeal Membrane Oxygenation Therapy

October 7, 2020

Delayed diagnosis and treatment can lead to permanent dysfunction in the limb involved. For early diagnosis, ICP monitoring is one of the most important objective findings. In this case, the medical staff did not recognize the risk of ALCS and ICP was not monitored; therefore, the diagnosis of ALCS was delayed resulting in permanent damage …

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A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete

September 18, 2020

Compartment syndrome is a dangerous and potentially disastrous condition for a patient, which if not treated in a timely fashion can have devastating consequences. If there is high clinical suspicion of compartment syndrome intra-compartmental pressure should be measured immediately using a STIC intra-compartmental pressure monitor to confirm the proper diagnosis and assist in data-driven decisions. …

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Chronic Leg Pain in A Division II Field Hockey Player: A Case Report

August 17, 2020

Persistent and recurrent symptoms of leg pain, cramping, and tightness in any athlete should raise awareness of underlying chronic exertional compartment syndrome (CECS) and warrant early intra-compartmental pressure measurements using a STIC pressure monitor for an effective diagnosis. Abstract Chronic exertional compartment syndrome in athletes commonly represents a diagnostic and management challenge for clinicians. A …

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The Dreaded Acute Compartment Syndrome 

July 21, 2020

Pain is one of the earliest findings in patients who have acute compartment syndrome, but findings on history and exam cannot rule out the diagnosis. The measurement of intra-compartmental pressures using a [STIC Intra-Compartmental] pressure monitor is the most reliable test. Abstract Acute compartment syndrome, otherwise known as a surgical emergency, is most common in patients 35 years or older and males …

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Pressure Measurement: Surrogate of Ischemia

May 1, 2020

United States trauma surgeons reported that the clinical assessment using the intra-compartmental pressure monitor, should be utilized in the awake patient and continuous monitoring using the slit catheter is recommended in the obtunded or unconscious patient. Abstract The incidence of acute compartment syndrome is documented to be 3.1 per 100,000 population/year. Males are more frequently …

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Acute Compartment Syndrome of the Limb

April 7, 2020

Monitoring of the intra-compartmental pressure should be routine in any unconscious, sedated and uncooperative patient. If the delta pressure remains less than 30 mmHg, in the presence of clinical signs and despite conservative measures, fasciotomy should be performed as an emergency to preserve the function of the limb. Abstract Whitesides introduced the concept that the …

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