All about compartment syndrome  causes of compartment syndrome symptoms of compartment syndrome diagnosis of compartment syndrome treatment for compartment syndrome |
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What is the treatment for compartment syndrome?
Treatment for both acute and chronic compartment syndrome is usually surgery. Long incisions are made in the fascia to
release the pressure building inside. The wounds are generally left open (covered with a sterile dressing) and closed during a second surgery, usually 48-72 hours later. Skin grafts may be required to close the wound. Initial treatment consists of elevating the limb above the level of the heart. If a cast has been applied, it is removed. A surgical procedure known as a fasciotomy may be used to open the membrane leading to the affected muscles. Pressure is relieved, and the blood flow can return to normal. Often the skin needs to be left open for a few days. It can be closed with sutures or a skin graft after the swelling goes down. If the diagnosis of compartment syndrome is made promptly and surgical release performed, the outlook is excellent for recovery of the muscles and nerves inside the compartment. However, the overall prognosis will be determined by the injury leading to the syndrome. If there is a delay in diagnosis, there can be permanent nerve injury and loss of muscle function. This is more common when injured person is unconscious or heavily sedated and incapable of complaining. Permanent nerve injury can occur after 12-24 hours of compression. |
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More information on compartment syndrome
What is compartment syndrome? - Compartment syndrome is a painful condition that develops when swelling takes place within an enclosed area (compartment).
What causes compartment syndrome? - Swelling leading to compartment syndrome is associated with high-energy trauma. Compartment syndrome may also occur due to tight bandages or casts.
What're the symptoms of compartment syndrome? - Symptoms of compartment syndrome include numbness, tingling, pain or loss of movement in an extremity.
How is compartment syndrome diagnosed? - Diagnosis of compartment syndrome begins with a medical history and physical exam. The raised pressure within the compartment will be measured.
What's the treatment for compartment syndrome? - Treatment for compartment syndrome is surgery. Long incisions are made in the fascia to release the pressure building inside. |
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