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Encyclopedia > Compartment syndrome
Compartment syndrome
Classification & external resources
ICD-10 T79.6
ICD-9 729.9, 958.8
DiseasesDB 3028
MedlinePlus 001224
eMedicine emerg/739  pmr/33 sports/26
MeSH C05.651.180

Compartment syndrome is characterized by increased pressure within one or more fascial compartments so that vascular perfusion is compromised. Without prompt treatment, the resulting tissue hypoxia can lead first to nerve damage and eventually muscle death. The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // S00-T98 - Injury, poisoning and certain other consequences of external causes (S00-S09) Injuries to the head (S00) Superficial injury of head (S01) Open wound of head (S02) Fracture of skull and facial bones (S03) Dislocation, sprain and strain of joints and ligaments of head (S04) Injury of cranial nerves... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Disease Bold textDatabase is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... MedlinePlus (medlineplus. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. ... On the human body, the limbs can be divide into segments, such as the arm and the forearm of the upper limb, and the thigh and the leg of the lower limb. ...


summer does not have this syndrome

Contents

Pathophysiology

Any condition that results in an increase in compartment contents or reduction in a compartment’s volume could lead to the development of an acute compartment syndrome. When pressure is elevated capillary blood flow is compromised. Edema of the soft tissue within the compartment further raises the intra-compartment pressure, which compromised venous and lymphatic drainage of the injured area. Pressure if further increased in a reinforcing vicious cycle until arteriole perfusion is compromised leading to further tissue ischemia.


Tissue pressure is normally below 10 mm Hg and is usually approximately zero. Blood flow through capillaries is at risk at pressures above 20 mm Hg and nerves and muscles may undergo necrosis at pressures greater than 30 – 40 mm Hg. Arteries and arterioles are stable at these pressures, however the tissues within the compartment dependent on the capillaries for nutrients suffer hypoxia.


Untreated compartment syndrome mediated ischemia of the muscles and nerves lead to eventual irreversible damage and death of the tissues within the compartment.


Symptoms and Signs

severe usage of sound effects, being over hte height of 5 foot 5 inches, having brown skin tones, brown eyes, and brown eyes, born with straight teeth, having large eyes are all symptoms of thsi syndrome but hte only way to know if you have it is if your name is Summer Mitchell...if your name is Summer Mitchell then you definitly have Compartment Syndrome


Diagnosis

CCS can be tested for by gauging the pressure within the muscle compartments. If the pressure is sufficiently high, a fasciotomy may be required. Fasciotomy is a surgical procedure in which the fascia is cut to relieve tension or pressure (resulting in loss of circulation to an area of tissue or muscle). ...


Treatment

Acute compartment syndrome is a medical emergency requiring immediate surgical treatment known as a fasciotomy to allow the pressure to return to normal. Fasciotomy is a surgical procedure in which the fascia is cut to relieve tension or pressure (resulting in loss of circulation to an area of tissue or muscle). ...


Chronic compartment syndrome in the lower leg can treated conservatively or surgically. Conservative treatment includes rest, anti-inflammatories, and stretching. In cases where symptoms persist the condition should be treated by a surgical procedure, subcutaneous fasciotomy or open fasciectomy [1]. Without treatment chronic compartment syndrome can develop into the acute syndrome [2]. A possible complication of surgical intervention for chronic compartment syndrome can be chronic venous insufficiency.


Complications

Failure to relieve the pressure can result in necrosis of tissue in that compartment, since capillary perfusion will fall leading to increasing hypoxia of those tissues. If left untreated, acute compartment syndrome can lead to more severe conditions including rhabdomyolysis and kidney failure. Rhabdomyolysis is the breakdown of skeletal muscle due to injury, either mechanical, physical or chemical. ... Renal failure is when the kidneys fail to function properly. ...


See also

Volkmanns contrature, also known as Volkmanns ischaemic contracture, is a permanent flexion contracture of the hand at the wrist, resulting in a claw-like deformity of the hand and fingers. ... Rolfing, also known as Structural Integration, is a codified series of soft tissue manipulation, which purports to organize soft tissue relationships, with the objectives of realigning the body structurally and harmonizing its fundamental movement patterns. ...

External links

  • American Association of Orthopaedic Surgeons Compartment Syndrome

Duke University is a private coeducational research university located in Durham, North Carolina, USA. Founded by Methodists and Quakers in the present-day town of Trinity in 1838, the school moved to Durham in 1892. ... The Merck Manual of Diagnosis and Therapy (often referred to simply as The Merck Manual) is one of the worlds most widely used medical textbooks. ...

Works Cited

  1. ^ Leversedge FJ, Casey PJ, Seiler 3rd JG, et al. Endoscopically assisted fasciotomy: description of technique and in vitro assessment of lower-leg compartment decompression. Am J Sports Med 2002;30(2):272-8.
  2. ^ Mubarak SJ, Owen CA, Garfin S, et al. Acute exertional superficial posterior compartment syndrome. Am J Sports Med 1978;6(5):287-90.

  Results from FactBites:
 
Compartment syndrome - Wikipedia, the free encyclopedia (387 words)
Compartment syndrome is a situation created by pressure buildup in one fascial compartment.
Because the pressure in the large blood vessels of the limbs is much greater than the compartment pressure required to cause death of the tissue, a patient whose muscles are dying from compartment syndrome, and who is in danger of losing their limb will usually have intact pulses.
When compartment syndrome is caused by repetitive heavy use of the muscles, as in a runner, it is known as chronic compartment syndrome (CCS).
Postgraduate Medicine: Lower extremity compartment syndrome (2628 words)
Although acute compartment syndrome of the lower extremity that does not involve fracture is thought to be a rare injury in athletes, it has been reported with increasing frequency in the medical literature (1-7).
Symptoms of chronic compartment syndrome may be reproduced in the office by using a rubber tension band to alternately dorsiflex and plantarflex the ankle.
The anterior compartment is reached by inserting the catheter halfway between the tibial crest and the lateral intermuscular septum in the central portion of the compartment.
  More results at FactBites »


 

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