Acute Compartment Syndrome of the Limbs: Current Concepts and Management
Nigel Tapiwa Mabvuure 1, Marco Malahias 2, Sandip Hindocha*, 3, Wasim Khan 4, Ali Juma 5
Identifiers and Pagination:Year: 2012
Issue: Suppl 3
First Page: 535
Last Page: 543
Publisher ID: TOORTHJ-6-535
Article History:Received Date: 14/8/2012
Revision Received Date: 7/9/2012
Acceptance Date: 19/9/2012
Electronic publication date: 30/11/2012
Collection year: 2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Acute compartment syndrome (ACS) of the limb refers to a constellation of symptoms, which occur following a rise in the pressure inside a limb muscle compartment. A failure or delay in recognising ACS almost invariably results in adverse outcomes for patients. Unrecognised ACS can leave patients with nonviable limbs requiring amputation and can also be life–threatening. Several clinical features indicate ACS. Where diagnosis is unclear there are several techniques for measuring intracompartmental pressure described in this review. As early diagnosis and fasciotomy are known to be the best determinants of good outcomes, it is important that surgeons are aware of the features that make this diagnosis likely. This clinical review discusses current knowledge on the relevant clinical anatomy, aetiology, pathophysiology, risk factors, clinical features, diagnostic procedures and management of an acute presentation of compartment syndrome.