Document Detail


Monitoring antebrachial compartmental pressure in displaced supracondylar elbow fractures in children.
MedLine Citation:
PMID:  15599236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Our aim was to measure antebrachial volar compartment pressure in displaced supracondylar elbow fractures in children.
METHODS: We conducted a prospective, observational study of 42 fractures. The mean age was 5.2 years. There was type II displacement in nine cases (21.4%) and type III in 33 (78.6%). A wick catheter (1.5 mm in diameter) was placed perioperatively and compartmental pressure was monitored on a intra-compartmental pressure monitor system (STIC monitor) with a +/- 1 mmHg margin of error. Compartmental, systolic and diastolic pressures were measured every day for the first three postoperative days and then for a 2-week follow-up period. Descriptive statistics, t-test and correlation with a P < 0.05 significance were studied.
RESULTS: Mean compartmental pressure before reduction was 8.3 mmHg and 6.7, 4, 2.4, 1.7 and 1 mmHg during the first 3 days and at 1 and 2 weeks post-reduction, respectively. Pressure decreased 40% (P = 0.0005) from the first to the second day and 75% (P = 0.0005) from the first day to the first week. There was no correlation between compartmental pressure and systolic and diastolic pressure. The compartmental pressure decreased significantly by the third postoperative day (P = 0.02).
CONCLUSION: Compartmental pressure decreased 60% the first 3 days. In displaced supracondylar fractures with clinical risk factors, it is advisable to monitor compartmental pressure during the first 24-48 h.
Authors:
Pedro Gutiérrez Carbonell; Fernando López Prats; Pedro Doménech Fernández; Jose Manuel Valiente Valero; Sigfrido Sastre
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  13     ISSN:  1060-152X     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-15     Completed Date:  2005-03-17     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  412-6     Citation Subset:  IM    
Affiliation:
Unit of Traumatology and Pediatric Orthopedics, General University Hospital of Alicante, Alicante, Spain. gutierrez_ped@gva.es
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Child, Preschool
Compartment Syndromes / etiology*,  prevention & control*
Female
Humans
Humeral Fractures / complications*,  surgery
Male
Monitoring, Physiologic / instrumentation*
Postoperative Period
Pressure
Prospective Studies
Sphygmomanometers
Transducers

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


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