title: Does patient controlled analgesia delay the diagnosis of compartment syndrome following intramedullary nailing of the tibia?
abstract: We report on four cases in which the diagnosis of compartment syndrome was delayed by the administration of patient controlled analgesia (PCA) following intramedullary nailing of tibial shaft fractures. We believe that this poses a diagnostic problem and can lead to lasting sequelae as decompression is delayed. We recommend extra vigilance with the use of PCA in patients with intramedullary nailing following tibial shaft fractures.
authors.affiliation: Morriston Hospital, Swansea, Wales, UK.
authors.forename: H
authors.initials: H
authors.lastname: Richards
authors.forename: A
authors.initials: A
authors.lastname: Langston
authors.forename: R
authors.initials: R
authors.lastname: Kulkarni
authors.forename: E M
authors.initials: EM
authors.lastname: Downes
mesh_terms: D000328:Adult; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects*; D000776:Anesthesiology; D001858:Bone Nails; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000209:etiology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D009985:Orthopedics; D010149:Postoperative Pain / Q000517:prevention & control*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D012916:Soccer / Q000293:injuries; D013978:Tibial Fractures / Q000601:surgery*