Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture
The acute extremity compartment syndrome is caused by increased compartment volume or restriction of compartment size. There are 23% of all compartment syndrome is caused by isolated soft-tissue injury especially in crushing injury. We report a 30-year-old male with the initial diagnosis of the righ...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2018-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=6;spage=241;epage=244;aulast=Wu |
| _version_ | 1797724837430427648 |
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| author | Tsung-Mu Wu Chi-Rung Chung Po-Chang Huang Chung-Da Wu |
| author_facet | Tsung-Mu Wu Chi-Rung Chung Po-Chang Huang Chung-Da Wu |
| author_sort | Tsung-Mu Wu |
| collection | DOAJ |
| description | The acute extremity compartment syndrome is caused by increased compartment volume or restriction of compartment size. There are 23% of all compartment syndrome is caused by isolated soft-tissue injury especially in crushing injury. We report a 30-year-old male with the initial diagnosis of the right tibia open fracture, Gustilo Type II, due to a motor-vehicle accident. Besides the right leg condition, he was continually suffered from left leg pain, where the X-ray revealed no apparent fracture since the collision. The physical examination showed no skin lesion and deformity; however, numbness and tightness were noted, toe stretching pain+, Pedis Dorsalis Artery+, Posterior Tibialis Artery+. Doppler showed the presence of PDA and PTA blood flow. Nine hours after the injury, pain and numbness of his left leg and foot still persisted and also pale and pulseless developed. Doppler for his left leg was done again and showed the negative result of PTA and PDA. Emergent bilateral side fasciotomy for his left leg was arranged, and the cardiovascular department was consulted for intraoperative angiography. The fasciotomy wound was cared with sterilized saline wet dressing for 3 days. Medial fasciotomy was closed with delayed primary method, and the lateral sides were treated with split-thickness skin graft. Acute compartment syndrome is diagnosed by the interpretation of a collection of clinical signs and symptoms. In a patient with a swollen limb, in the absence of a fracture and for whom, there is a suspicion of an acute compartment syndrome, methods, technology, and application for the early detection of acute compartment syndrome is important and also provides promising opportunities for the clinicians to perform early interventions. |
| first_indexed | 2024-03-12T10:22:33Z |
| format | Article |
| id | doaj.art-598a1fac6b02445e94d2507eebee29bd |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T10:22:33Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-598a1fac6b02445e94d2507eebee29bd2023-09-02T10:01:00ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2018-01-0151624124410.4103/fjs.fjs_22_18Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fractureTsung-Mu WuChi-Rung ChungPo-Chang HuangChung-Da WuThe acute extremity compartment syndrome is caused by increased compartment volume or restriction of compartment size. There are 23% of all compartment syndrome is caused by isolated soft-tissue injury especially in crushing injury. We report a 30-year-old male with the initial diagnosis of the right tibia open fracture, Gustilo Type II, due to a motor-vehicle accident. Besides the right leg condition, he was continually suffered from left leg pain, where the X-ray revealed no apparent fracture since the collision. The physical examination showed no skin lesion and deformity; however, numbness and tightness were noted, toe stretching pain+, Pedis Dorsalis Artery+, Posterior Tibialis Artery+. Doppler showed the presence of PDA and PTA blood flow. Nine hours after the injury, pain and numbness of his left leg and foot still persisted and also pale and pulseless developed. Doppler for his left leg was done again and showed the negative result of PTA and PDA. Emergent bilateral side fasciotomy for his left leg was arranged, and the cardiovascular department was consulted for intraoperative angiography. The fasciotomy wound was cared with sterilized saline wet dressing for 3 days. Medial fasciotomy was closed with delayed primary method, and the lateral sides were treated with split-thickness skin graft. Acute compartment syndrome is diagnosed by the interpretation of a collection of clinical signs and symptoms. In a patient with a swollen limb, in the absence of a fracture and for whom, there is a suspicion of an acute compartment syndrome, methods, technology, and application for the early detection of acute compartment syndrome is important and also provides promising opportunities for the clinicians to perform early interventions.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=6;spage=241;epage=244;aulast=WuAbsence of fractureacute compartment syndromeearly detectionfasciotomytrauma |
| spellingShingle | Tsung-Mu Wu Chi-Rung Chung Po-Chang Huang Chung-Da Wu Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture Formosan Journal of Surgery Absence of fracture acute compartment syndrome early detection fasciotomy trauma |
| title | Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture |
| title_full | Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture |
| title_fullStr | Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture |
| title_full_unstemmed | Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture |
| title_short | Open fracture of tibia mid-shaft associated with the contralateral leg acute compartment syndrome without fracture |
| title_sort | open fracture of tibia mid shaft associated with the contralateral leg acute compartment syndrome without fracture |
| topic | Absence of fracture acute compartment syndrome early detection fasciotomy trauma |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=6;spage=241;epage=244;aulast=Wu |
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