Evaluation of acute compartment syndrome of extremities in emergency room: a case series of 32 children

Received: September 02, 2014
Accepted: November 30, 2014
Ref: Singh A, Ali S, Srivastava RN. Evaluation of acute compartment syndrome of extremities in emergency room: a case series of 32 children. Internet J Med Update. 2015 Jul;10(2):37-40. doi: 10.4314/ijmu.v10i2.6
CrossRef Link: http://dx.doi.org/10.4314/ijmu.v10i2.6

Ajai Singh, Sabir Ali, Rajeshwar N Srivastava

Department of Orthopedics, King George’s Medical University, Lucknow, India

(Corresponding Author: Prof. Ajai Singh, Department of Orthopedics, King George’s Medical University, Lucknow, India; Mobile: +9415022557; Email: as29762@gmail.com)

ABSTRACT

The aim of this study was to analyze the clinical signs of diagnosis, treatment and follow-up of the pediatric population presenting with acute compartment syndrome in the emergency room at an Institutional Level II trauma center. The study is a prospective case series. Thirty-two samples were selected from Institutional Trauma Centre, King George’s Medical University, Lucknow, between January 2005 and December 2010. Children presenting with clinically suspected acute compartment syndrome were studied. These were divided into two age related groups: Group A (children < 14 years) comprising of 12 children and Group B (14 or > to 18 years) comprised of 20 children. Patients’ demographics, diagnosis, treatment, follow-up and complications were analyzed. Acute compartment syndrome represents a surgical emergency. The clinical signs predict and corroborate with acute increases in compartment pressure effectively.

KEY WORDS: Acute compartment syndrome; Raised compartment pressure; Acute compartment syndrome in children; Acute compartment syndrome and fasciotomy

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