title: [Acute extremity compartment syndrome: current concepts in diagnostics and therapy].
abstract: Acute compartment syndrome of the upper and lower limbs is observed following trauma, reperfusion or as an intraoperative complication caused by positioning. The pathophysiology of the disorder has been extensively described and is well known as a loss of perfusion due to rising compartmental pressures. It is a serious and potentially limb- and life-threatening complication. Early diagnosis is made primarily based on clinical findings. Early and focused therapy is crucial to prevent the devastating complications of this acute condition. However, diagnosis can be difficult, particularly in unconscious patients. Thus, in uncertain cases, pressure measurements are essential. Dermato-fasciotomy is the routine method to decompress the compartmental space. This review article examines the clinical findings, diagnostic techniques, and management options for the patient with musculoskeletal injuries.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland, rsellei@ukaachen.de.
authors.forename: R M
authors.initials: RM
authors.lastname: Sellei
authors.forename: F
authors.initials: F
authors.lastname: Hildebrand
authors.forename: H-C
authors.initials: HC
authors.lastname: Pape
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000628:therapy*; D019299:Decompression, Surgical / Q000379:methods*; D003952:Diagnostic Imaging / Q000379:methods*; D042241:Early Diagnosis; D005121:Extremities / Q000000981:diagnostic imaging / Q000601:surgery; D000071938:Fasciotomy; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D010808:Physical Examination / Q000379:methods*; D011859:Radiography