[Instrumental muscle pressure measurement in acute and chronic compartment syndrome].
Acute compartment syndrome is a serious complication of trauma to the extremities. Increases in intra-compartmental tissue pressure result from increases in fluid pressure. The indication for a fasciotomy in impending compartment syndrome depends on the tissue pressure. To facilitate the diagnosis of high intramuscular pressure in acute and chronic compartment syndrome, we have developed a pressure monitor that enables us to measure pressure simply and exactly. The pressure monitor has a very low drift, high accuracy and linearity, and is easy to handle. The clinical application of the pressure monitor proved to be a useful tool in the management of an injured limb. This article reviews the pathophysiology and mechanism of acute and chronic compartment syndrome as well as the intracompartmental pressure monitoring.
Witschger
P M
PM
Chirurgische Klinik des Zieglerspitals, Bern.
Wegmüller
M
M
D003161:Compartment Syndromes / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005110:Extracellular Space / Q000502:physiology*; D005121:Extremities / Q000293:injuries; D000071938:Fasciotomy; D006801:Humans; D006874:Hydrostatic Pressure; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D009132:Muscles / Q000098:blood supply*; D012016:Reference Values; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*
Apparative Muskeldruckmessung beim akuten und chronischen Compartmentsyndrom.