Thigh Compartment Syndrome, Presentation and Complications
To describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS). TCS is a rare (0.3% of trauma patients) condition of elevated pressure within a constrained space that may cause necrosis of all tissues within the compartment resulting in severe local...
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| Format: | Article |
| Language: | English |
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Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
2009-09-01
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| Series: | Biomolecules & Biomedicine |
| Subjects: | |
| Online Access: | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2751 |
| _version_ | 1797260832458932224 |
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| author | Eric G. Verwiebe Enes M. Kanlic Jeremy Saller Amr Abdelgawad |
| author_facet | Eric G. Verwiebe Enes M. Kanlic Jeremy Saller Amr Abdelgawad |
| author_sort | Eric G. Verwiebe |
| collection | DOAJ |
| description | To describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS). TCS is a rare (0.3% of trauma patients) condition of elevated pressure within a constrained space that may cause necrosis of all tissues within the compartment resulting in severe local (infection, amputation) and systemic complications (renal insufficiency, even death). Retrospective cohort This study examines the course of treatment of nine consecutive patients with thigh compartment syndrome sustained during an eight-year period at our Level 1 trauma centre, admitting more than 2,000 trauma patients yearly.
Patients developing TCS were young (average 34.8 years) and likely to have a vascular injury on presentation (55.5%). A tense and edematous thigh was the most consistent clinical exam finding prompting the compartment release (77.8%). Average time from admission to the operating room was 19.8 ± 6 hours and 3/9 (33%) were noted to have ischemic muscle changes upon compartment releases. Complications ranging from infection to amputation developed in 4/9 (44.4%) patients.
TCS is associated with high energy trauma and it is difficult to diagnose in non-cooperative - obtunded and polytrauma patients. Vascular injuries are a common underlying cause and require prompt recognition and team work including surgical intensive care, interventional radiology, vascular and orthopaedic surgery in order to avoid severe medical and legal consequences.
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| first_indexed | 2024-04-24T23:31:35Z |
| format | Article |
| id | doaj.art-85f5cc01ca2a4e6693dabfb9c3a0a3e5 |
| institution | Directory Open Access Journal |
| issn | 2831-0896 2831-090X |
| language | English |
| last_indexed | 2024-04-24T23:31:35Z |
| publishDate | 2009-09-01 |
| publisher | Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina |
| record_format | Article |
| series | Biomolecules & Biomedicine |
| spelling | doaj.art-85f5cc01ca2a4e6693dabfb9c3a0a3e52024-03-15T14:37:13ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2009-09-019110.17305/bjbms.2009.2751461Thigh Compartment Syndrome, Presentation and ComplicationsEric G. VerwiebeEnes M. Kanlic0Jeremy Saller1Amr Abdelgawad2Department of Orthopaedic Surgery and Rehabilitation at Texas Tech UniversityDepartment of Orthopaedic Surgery and Rehabilitation at Texas Tech UniversityDepartment of Orthopaedic Surgery and Rehabilitation at Texas Tech UniversityTo describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS). TCS is a rare (0.3% of trauma patients) condition of elevated pressure within a constrained space that may cause necrosis of all tissues within the compartment resulting in severe local (infection, amputation) and systemic complications (renal insufficiency, even death). Retrospective cohort This study examines the course of treatment of nine consecutive patients with thigh compartment syndrome sustained during an eight-year period at our Level 1 trauma centre, admitting more than 2,000 trauma patients yearly. Patients developing TCS were young (average 34.8 years) and likely to have a vascular injury on presentation (55.5%). A tense and edematous thigh was the most consistent clinical exam finding prompting the compartment release (77.8%). Average time from admission to the operating room was 19.8 ± 6 hours and 3/9 (33%) were noted to have ischemic muscle changes upon compartment releases. Complications ranging from infection to amputation developed in 4/9 (44.4%) patients. TCS is associated with high energy trauma and it is difficult to diagnose in non-cooperative - obtunded and polytrauma patients. Vascular injuries are a common underlying cause and require prompt recognition and team work including surgical intensive care, interventional radiology, vascular and orthopaedic surgery in order to avoid severe medical and legal consequences. https://www.bjbms.org/ojs/index.php/bjbms/article/view/2751thigh injuriescompartment syndromeamputationrenal insufficiency |
| spellingShingle | Eric G. Verwiebe Enes M. Kanlic Jeremy Saller Amr Abdelgawad Thigh Compartment Syndrome, Presentation and Complications Biomolecules & Biomedicine thigh injuries compartment syndrome amputation renal insufficiency |
| title | Thigh Compartment Syndrome, Presentation and Complications |
| title_full | Thigh Compartment Syndrome, Presentation and Complications |
| title_fullStr | Thigh Compartment Syndrome, Presentation and Complications |
| title_full_unstemmed | Thigh Compartment Syndrome, Presentation and Complications |
| title_short | Thigh Compartment Syndrome, Presentation and Complications |
| title_sort | thigh compartment syndrome presentation and complications |
| topic | thigh injuries compartment syndrome amputation renal insufficiency |
| url | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2751 |
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