Acute compartment syndrome of forearm without facture in a toddler
Acute compartment syndrome is an orthopedic emergency. In pediatric population, there should be a high index of suspicion for its early detection, especially when it is not associated with a fracture. We present here a case of a toddler, who developed acute compartment syndrome of forearm following...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | Journal of Marine Medical Society |
Subjects: | |
Online Access: | http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=1;spage=63;epage=66;aulast=Khatri |
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author | Jai Prakash Khatri Munish Sood Ajaydeep Sud Manoj Kumar |
author_facet | Jai Prakash Khatri Munish Sood Ajaydeep Sud Manoj Kumar |
author_sort | Jai Prakash Khatri |
collection | DOAJ |
description | Acute compartment syndrome is an orthopedic emergency. In pediatric population, there should be a high index of suspicion for its early detection, especially when it is not associated with a fracture. We present here a case of a toddler, who developed acute compartment syndrome of forearm following a trivial trauma without fracture. Pain out of proportion and increased analgesic requirement are fairly reliable signs and should raise the suspicion of compartment syndrome for the treating surgeon. Despite various methods being available for measurement of intracompartment pressure, the diagnosis largely remains clinical. Ability to actively contract the muscle in the presence of elevated compartment pressure is an indicator of the viability of muscle. The case has been presented to sensitize the young surgeons regarding the possibility of compartment syndrome following simple fall without fracture. The clinical condition was timely diagnosed, and immediate surgical decompression resulted in good functional recovery. |
first_indexed | 2024-12-13T02:34:13Z |
format | Article |
id | doaj.art-a85d8e1014ec47d3b112ad9f2f93aac2 |
institution | Directory Open Access Journal |
issn | 0975-3605 |
language | English |
last_indexed | 2024-12-13T02:34:13Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Marine Medical Society |
spelling | doaj.art-a85d8e1014ec47d3b112ad9f2f93aac22022-12-22T00:02:27ZengWolters Kluwer Medknow PublicationsJournal of Marine Medical Society0975-36052018-01-01201636610.4103/jmms.jmms_58_17Acute compartment syndrome of forearm without facture in a toddlerJai Prakash KhatriMunish SoodAjaydeep SudManoj KumarAcute compartment syndrome is an orthopedic emergency. In pediatric population, there should be a high index of suspicion for its early detection, especially when it is not associated with a fracture. We present here a case of a toddler, who developed acute compartment syndrome of forearm following a trivial trauma without fracture. Pain out of proportion and increased analgesic requirement are fairly reliable signs and should raise the suspicion of compartment syndrome for the treating surgeon. Despite various methods being available for measurement of intracompartment pressure, the diagnosis largely remains clinical. Ability to actively contract the muscle in the presence of elevated compartment pressure is an indicator of the viability of muscle. The case has been presented to sensitize the young surgeons regarding the possibility of compartment syndrome following simple fall without fracture. The clinical condition was timely diagnosed, and immediate surgical decompression resulted in good functional recovery.http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=1;spage=63;epage=66;aulast=KhatriAcute compartment syndromedeep volar compartmentfasciotomypaediatric forearm |
spellingShingle | Jai Prakash Khatri Munish Sood Ajaydeep Sud Manoj Kumar Acute compartment syndrome of forearm without facture in a toddler Journal of Marine Medical Society Acute compartment syndrome deep volar compartment fasciotomy paediatric forearm |
title | Acute compartment syndrome of forearm without facture in a toddler |
title_full | Acute compartment syndrome of forearm without facture in a toddler |
title_fullStr | Acute compartment syndrome of forearm without facture in a toddler |
title_full_unstemmed | Acute compartment syndrome of forearm without facture in a toddler |
title_short | Acute compartment syndrome of forearm without facture in a toddler |
title_sort | acute compartment syndrome of forearm without facture in a toddler |
topic | Acute compartment syndrome deep volar compartment fasciotomy paediatric forearm |
url | http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=1;spage=63;epage=66;aulast=Khatri |
work_keys_str_mv | AT jaiprakashkhatri acutecompartmentsyndromeofforearmwithoutfactureinatoddler AT munishsood acutecompartmentsyndromeofforearmwithoutfactureinatoddler AT ajaydeepsud acutecompartmentsyndromeofforearmwithoutfactureinatoddler AT manojkumar acutecompartmentsyndromeofforearmwithoutfactureinatoddler |