A hundred limbs of patients suffering limb trauma were assessed by at least two different reviewers for symptoms of compartment syndrome, both clinically, and by a simple, locally devised apparatus for pressure measurement. We have found the apparatus to be very effective, safe, reproducible and simple. Orthopaedic surgeons working in peripheral hospitals in the developing world can make use of this apparatus which costs less than $5 to assemble. This technique may assist an early decision regarding surgical decompression at a peripheral hospital or referral to specialist unit, thus saving valuable time and expense.
References
1.
MatsenFA. Compartment syndrome - a unified concept. Clin Orthop1975;113:8–14.
2.
SpielmanLydon. Bilateral compartment syndrome following prolonged surgery in the lithotomy position. Anaethesiology1984;60:236–8.
3.
WallJJ. Compartment syndrome as a complication of the Hauser procedure. J Bone Joint Surg1979;61A:185–91.
4.
StrombergDDWiederheilmCA. Effects of osmotic gradients and enzymes on negative pressures in implanted capsules. Am J Physiol1970;219:928–32.
5.
MatsenFAMayoKASheridenGWKrugmireRB. Monitoring of intramuscular pressure. Surgery1976;79:702–9.
6.
WiederhielmCA. The interstitial space. In: Biomechanics: Its Foundations and Objectives. New Jersey: Prentice Hall, 1970:273.
7.
RorabeckCH. The treatment of compartment syndromes of the leg. J Bone Joint Surg1984;66B:93–7.
8.
MubarakSJHargensAROwenCAThe wide catheter technique for measurement of intramuscular pressure. A new research and clinical tool. J Bone Joint Surg1976;58A:1016–21.
9.
MoedBRThordersonPK. Measurement of intracompartmental pressure: a comparison of the slit catheter, side ported needle and simple needle. J Bone Joint Surg1993;75A:231–5.
10.
NakhostineMStyfJRvan LeuvenSHargensARGershuniDH. Intramuscular pressure varies with depth. The tibialis anterior muscle studied in 12 volunteers. Acta Orthop Scan1993;64:377–81.
