Clinical Insights

Review topics including clinical cases, patient stories, education, and litigation.

Clinical cases, research, and data to inform, educate, and acknowledge the critical work you do.

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 …

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 …

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 …

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 …

The Pathophysiology, Diagnosis and Current Management of Acute Compartment Syndrome

September 21, 2020

Many authors advocate the use of intra-compartmental pressure monitoring in all at risk patients and those where extra clinical vigilance is advised. It has also been suggested that pressure monitoring may detect acute compartment syndrome prior to the onset of clinical signs, in addition to reducing the time to fasciotomy and the development of subsequent …

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. …

Acute Exertional Compartment Syndrome with Rhabdomyloysis: Case Report and Review of Literature

August 31, 2020

The ability for a clinician to promptly diagnose and initiate proper treatment for acute exertional compartment syndrome (AECS) is crucial for the prevention of severe or devastating consequences for the patient. Abstract Acute exertional compartment syndrome (AECS) is characterized by a rise in pressure within a closed fascial space in the absence of a specific …

A Sneaky Surgical Emergency: Acute Compartment Syndrome. Retrospective Analysis of 66 Closed Claims, Medico-Legal Pitfalls and Damages Evaluation

August 25, 2020

Proper management of Acute Compartment Syndrome minimizes or avoids the sequel associated with a late diagnosis and may reduce the risk of malpractice claims. As acute compartment syndrome is a clinical emergency, early findings are crucial. Abstract Acute compartment syndrome (ACS) is a clinical condition with potentially dramatic consequences if it not diagnosed early. Good …

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 …

Diagnosing Compartment Syndrome 

August 7, 2020

If the diagnosis is in question, it is imperative to obtain clinical compartment pressures. Prompt emergency department diagnosis by measuring compartment pressures, using a  STIC pressure monitor, is essential to minimizing patient morbidity and disability in this life-threatening condition. Abstract Compartment syndrome can develop in numerous compartments throughout the body, although it is commonly found in compartments within the arms and legs. Generally, fractures are the cause of …

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