Document Detail

Injury patterns causing isolated foot compartment syndrome.
MedLine Citation:
PMID:  22637209     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: The true incidence and primary predictors of foot compartment syndrome remain controversial. Our aim was to better define the overall incidence of foot compartment syndrome in relation to the frequency and location of various foot injuries. We hypothesized that (1) the incidence would increase in proportion to the number of anatomic locations of injury, (2) the incidence would be higher in association with hindfoot and crush injuries compared with any other injury categories, and (3) not only would the incidence associated with calcaneal fractures be lower than the often quoted 10% but foot compartment syndrome would also be fairly uncommon after such fractures.
METHODS: The National Trauma Data Bank was used to identify patients who had undergone a fasciotomy for the treatment of isolated foot compartment syndrome. Strict inclusion and exclusion criteria were used to identify only patients with foot injuries who had undergone fasciotomy for foot compartment syndrome.
RESULTS: Three hundred and sixty-four patients with an isolated foot compartment syndrome were identified. The highest incidence of foot compartment syndrome was seen in association with a crush mechanism combined with a forefoot injury (18%, nineteen of 106), followed by an isolated crush injury (14%, twenty-three of 162). Only 1% (thirty-two) of 2481 patients with an isolated calcaneal fracture underwent fasciotomy. An increase in the number of anatomic locations of injury did not appear to correspond to an increased incidence of foot compartment syndrome.
CONCLUSION: Our results demonstrate that injuries involving a crush mechanism, either in isolation or in combination with a forefoot injury, should raise suspicion about the possibility that a foot compartment syndrome will develop.
LEVEL OF EVIDENCE: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
Nikhil A Thakur; Matthew McDonnell; Christopher J Got; Nicole Arcand; Kevin F Spratt; Christopher W Digiovanni
Related Documents :
21199049 - Prevalence, phenomenology, aetiology and predictors of challenging behaviour in smith-m...
11724509 - Consistent lowering of clotting factors for the treatment of acute cardiovascular syndr...
22637209 - Injury patterns causing isolated foot compartment syndrome.
21496599 - Startle syndromes.
21820839 - Contiguous bilateral head and neck paragangliomas in a carrier of the sdhb germline mut...
2253249 - Acute poststreptococcal glomerulonephritis and acute rheumatic fever: occurrence in the...
24726719 - Acute-onset chronic inflammatory demyelinating polyneuropathy with focal segmental glom...
24059549 - Surfactant therapy for neonatal respiratory distress syndrome in 2013.
9458399 - The effects of partial thyroidectomy on the development of the equine fetus.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  94     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1030-5     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Influence of limb alignment on mediolateral loading in total knee replacement: in vivo measurements ...
Next Document:  The clinical utility and diagnostic performance of MRI for identification and classification of knee...