Compartment Syndrome of the Lower Limb in Adults and Children and Effective Surgical Intervention and Post-surgical Therapies: A Narrative Review
- Hobbs M. [4] ,
- Rahman H.T. [4] ,
- Raj R. [4] ,
- Mandalaneni K. [2] ,
- Pemminati S. [3] and
- Gorantla V.R. [1]
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Description
Compartment syndrome (CS) can be defined as an acutely painful condition that occurs due to increased pressure within a compartment, resulting in reduced blood flow and oxygen to nerves and muscles within the limb. It is considered a surgical emergency, and a delayed diagnosis may result in ischemia and eventual necrosis of the limb. The majority of cases in adults are associated with high-energy trauma, more specifically, long bone fractures of the lower limb, while supracondylar fractures of the humerus are highly associated with CS in pediatric patients. CS may also develop gradually as a result of prolonged and ongoing physical activity such as running. In this narrative review, we discuss the anatomy, pathophysiology, methods of diagnosis, and effective management of CS in adults and children.
Affiliations
- Department of Biomedical Sciences, West Virginia School of Osteopathic Medicine, Lewisburg, USA.
- Department of Neuroscience, St. George's University School of Medicine, St. George's, GRD.
- Department of Pharmacology, California Health Sciences University College of Osteopathic Medicine, Clovis, USA.
- School of Medicine, St. George's University School of Medicine, St. George's, GRD.