Acute compartment syndrome (ACS) is a well-known pathophysiologic complication of trauma or tissue ischemia. ACS affects the appearance, function, and even the viability of the involved limb, and demands immediate diagnosis and treatment. However, ACS is difficult to diagnose and the only effective treatment is decompressive surgical fasciotomy. The clinical signs and symptoms may easily be attributed to other aspects of the injury, which further complicates the diagnosis. This article highlights the latest information regarding the diagnosis of ACS, how to perform fasciotomies, how to manage fasciotomy wounds, and also reviews complications and outcomes of ACS.
Bibliographical noteFunding Information:
Disclosure: The author received no funds in support of this article. The author has received research funding from the Dept. of Defense (W81XWH-10-1-0750, W81XWH-10-2-0090, W81XWH-12-1-0212) . The author owns stock in Twin Star ECS.
© 2016 Elsevier Inc.
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- Acute compartment syndrome
- Intramuscular pressure
- Perfusion pressure
- Pressure monitoring