[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.
Chirurgische Klinik des Zieglerspitals, Bern.
P M
PM
Witschger
M
M
Wegmüller
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.