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Compartment Syndrome (Severe Swelling In Limb)

Description

Description

Occurs in the extremities, with the lower leg being the most common site. Damage to the tissue leads to swelling in a enclosed space called a compartment. This swelling may rapidly lead to increased pressure and decreased blood flow causing further injury and swelling. This viscous cycle can result in death of muscles, and nerves. If left untreated complete paralysis of the affected limb and/or gangrene can develop requiring amputation.

Symptoms

Symptoms

Pain often out of proportion to the associated injury, numbness, weakness, swelling.

Tests

Tests

A history and physical exam will be performed. Additional tests include: identification of any associated fractures and measurement of the pressure in the compartment.

Standard Workup
  • CBC
  • Chem 12
  • X-Ray
Treatment

Treatment

Treatment needs to be done emergently and consists of surgical opening of the compartment to relieve the pressure (fasciotomy).




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