title: Mechanism of injury and treatment of trauma-associated acute compartment syndrome of the foot.
abstract: Acute compartment syndrome (ACS) of the foot represents a rare complication following trauma of the lower extremity. Early diagnosis and treatment are necessary to prevent poor outcome. The study was conducted to describe etiology and treatment of foot ACS. In the current study, patients diagnosed with and treated for ACS between 1st December 2000 and 30th September 2007 were included. Mechanism of injury, additional injuries and treatment was analyzed. We included 31 patients (21 males) with a mean age of 33.8 ± 16.9 years. Most injuries were caused by a motor vehicle accident, while nearly 20 % occurred after a low-energy mechanism. Multiple injuries with a mean ISS of 19.5 ± 11.0 were present in 14 patients. Superficial infections occurred in 6 feet, while a deep infection only developed in one patient. Acute compartment syndrome of the foot has a low incidence. A thorough clinical examination in patients on risk is required to provide timely diagnosis and adequate surgical decompression.
authors.affiliation: Department for General and Visceral Surgery, Henriettenstiftung, Hannover, Germany.|Trauma Department, Hanover Medical School, Hannover, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Brink
authors.affiliation: Trauma Department, Hanover Medical School, Hannover, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Bachmann
authors.affiliation: Department for Trauma, Hand and Reconstructive Surgery, University Medical Center Marburg, Baldingerstr., 35043, Marburg, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Lechler
authors.affiliation: Trauma Department, Hanover Medical School, Hannover, Germany. frink@med.uni-marburg.de.|Department for Trauma, Hand and Reconstructive Surgery, University Medical Center Marburg, Baldingerstr., 35043, Marburg, Germany. frink@med.uni-marburg.de.
authors.forename: M
authors.initials: M
authors.lastname: Frink
keywords: Acute compartment syndrome; Foot; Pressure measurement
references.citation: Bull Hosp Jt Dis Orthop Inst. 1987 Fall;47(2):251-61
references.pmid: 2891389
references.citation: J Bone Joint Surg Am. 1986 Dec;68(9):1449-51
references.pmid: 2877993
references.citation: Clin Orthop Relat Res. 1982 Jul;(167):185-90
references.pmid: 7094462
references.citation: Unfallchirurg. 1991 May;94(5):225-30
references.pmid: 1866635
references.citation: AJR Am J Roentgenol. 1980 Dec;135(6):1298
references.pmid: 6779547
references.citation: Ann Emerg Med. 1988 Aug;17 (8):856-8
references.pmid: 3394994
references.citation: J Bone Joint Surg Am. 1986 Dec;68(9):1348-53
references.pmid: 3782206
references.citation: Unfallchirurg. 2001 Feb;104(2):119-26
references.pmid: 11471404
references.citation: Clin Anat. 2007 Mar;20(2):201-8
references.pmid: 16944525
references.citation: J Trauma. 1996 Mar;40(3):342-4
references.pmid: 8601846
references.citation: Plast Reconstr Surg. 2001 Oct;108(5):1184-91
references.pmid: 11604617
references.citation: Injury. 2007 May;38(5):607-13
references.pmid: 17306263
references.citation: Foot Ankle. 1988 Jun;8(6):308-14
references.pmid: 3402849
references.citation: J Bone Joint Surg Am. 2012 Jun 6;94(11):1030-5
references.pmid: 22637209
references.citation: Clin Orthop Relat Res. 1975 Nov-Dec;(113):81-9
references.pmid: 1192679
references.citation: Injury. 1998 Apr;29(3):229-32
references.pmid: 9709427
references.citation: Mediators Inflamm. 2013;2013:345702
references.pmid: 24023413
references.citation: J Orthop Trauma. 2004 Feb;18(2):87-91
references.pmid: 14743027
references.citation: J Bone Joint Surg Br. 1996 Jan;78(1):99-104
references.pmid: 8898137
references.citation: Clin Orthop Relat Res. 2010 Apr;468(4):940-50
references.pmid: 19472025
references.citation: Can J Surg. 1958 Apr;1(3):212-7
references.pmid: 13523475
references.citation: Eur J Vasc Surg. 1992 Mar;6(2):124-9
references.pmid: 1572451
references.citation: Eur J Trauma Emerg Surg. 2007 Dec;33(6):589-99
references.pmid: 26815086
references.citation: MMW Fortschr Med. 2005 Apr 7;147 Suppl 1:1-5
references.pmid: 16739365
references.citation: Unfallchirurgie. 1995 Apr;21(2):64-9
references.pmid: 7770992