Document Detail


Acute compartment syndrome of the upper extremity.
MedLine Citation:
PMID:  21205767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute compartment syndrome occurs when pressure within a fibro-osseous space increases to a level that results in a decreased perfusion gradient across tissue capillary beds. Compartment syndromes of the hand, forearm, and upper arm can result in tissue necrosis, which can lead to devastating loss of function. The etiology of acute compartment syndrome in the upper extremity is diverse, and a high index of suspicion must be maintained. Pain out of proportion to injury is the most reliable early symptom of impending compartment syndrome. Diagnosis is particularly difficult in obtunded patients and in young children. Early recognition and expeditious surgical treatment are essential to obtain a good clinical outcome and prevent permanent disability.
Authors:
Mark L Prasarn; Elizabeth A Ouellette
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the American Academy of Orthopaedic Surgeons     Volume:  19     ISSN:  1067-151X     ISO Abbreviation:  J Am Acad Orthop Surg     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-05     Completed Date:  2011-03-01     Revised Date:  2011-05-17    
Medline Journal Info:
Nlm Unique ID:  9417468     Medline TA:  J Am Acad Orthop Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49-58     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of Rochester, Rochester, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Algorithms
Compartment Syndromes* / complications,  etiology,  physiopathology
Decompression, Surgical
Fascia / surgery
Humans
Ischemic Contracture / etiology
Treatment Outcome
Upper Extremity* / anatomy & histology
Comments/Corrections
Erratum In:
J Am Acad Orthop Surg. 2011 May;19(5):50A

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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