Fifty recreational athletes were subjected to a defined exercise programme (running on a treadmill, 8 km/h). The pressure in the middle third of the anterolateral compartment was measured. We also assessed the geometry and the echogenicity in the transversal and the longitudinal plane by sonographic means. The increase of the intracompartmental pressure increased as the ap-diameter of the compartment in the transverse plane increased (distance = superficial fascia - interosseous membrane). We found a correlation factor of 0.79. The echogenicity increased as the intracompartmental pressure increased. The changing ultrasound reflex pattern is considered non-reproducible because there are too many artifacts, nor is the increase in the ap-diameter due to the low correlation.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1055/s-2007-1005992 | DOI Listing |
J Bone Joint Surg Am
September 2024
Department of Orthopaedic Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Background: Manual compartment palpation is used as a component of the clinical diagnosis of acute compartment syndrome (ACS), particularly in obtunded patients. However, its utility and accuracy in the upper limb are unknown. The purposes of this study were to assess the accuracy of manual compartment palpation of ACS in the forearm in a cadaveric model and to assess the role of clinician experience in this setting.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2024
Department of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, United States of America.
Introduction: This review of case series and case reports explores conservative management strategies for paraspinal compartment syndrome (PCS), a rare clinical condition. Extremity compartment syndrome has been shown to be managed most effectively with emergent surgical release of the fascial compartment. Given the rarity of PCS and the paucity of research in the literature, some authors have suggested the possibility of conservative treatment.
View Article and Find Full Text PDFCureus
November 2024
Department of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND.
Introduction Cellulitis is a prevalent bacterial skin infection, particularly affecting the lower limbs and often necessitating clinical intervention due to its considerable incidence rate. Factors like venous insufficiency, lymphedema, and recurring episodes increase the risk of relapse, complicating treatment strategies. Although antibiotics and limb elevation are standard care, severe cases may require surgical intervention.
View Article and Find Full Text PDFRev Bras Ortop (Sao Paulo)
October 2024
Grupo de Trauma do Esporte, Departamento de Ortopedia e Traumatologia, Irmandade de Misericórdia da Santa Casa de São Paulo, São Paulo, SP, Brasil.
Chronic compartment syndrome (CCS) is a pressure increase within a non-expandable fibro-osseous space resulting from continuous and intense physical activity. Its symptoms usually improve with rest or reduced activity. It is a critical cause of lower limb pain in athletes and the second most common cause of effort-related leg pain.
View Article and Find Full Text PDFTech Hand Up Extrem Surg
December 2024
Department of Orthopaedic Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA.
Chronic exertional compartment syndrome (CECS) of the forearm is a rare but increasingly well-recognized condition that affects athletes and labor workers performing repetitive isometric loading of forearm musculature. There is no current consensus on surgical management for CECS of the forearm, and there is a paucity of literature to support a single technique. We describe the surgical management of CECS of the forearm with endoscopic forearm fasciotomy.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!