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Acute compartment syndrome of the dorsal forearm following noncontact injury

机译:非接触损伤后前臂急性室综合征

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Acute compartment syndrome is a limb-threatening condition in which early diagnosis and surgical consultation for fasciotomy are required to preserve functional outcome. The diagnosis is typically considered in patients with traumatic mechanisms of injury such as a direct blow and crush to the compartment, particularly when there is a fracture in the same compartment. We report the case of a patient with acute compartment syndrome of the dorsal forearm that occurred as a result of an atypical noncontact traumatic mechanism. Establishing the diagnosis of compartment syndrome was complicated in this patient, as some of the signs and symptoms of acute compartment syndrome could have been attributed to the presence of a coexisting rupture of the extensor digitorum muscle. This report serves to remind emergency physicians that, although rare, acute compartment syndrome can result from exertional and noncontact traumatic mechanisms.
机译:急性室综合征是一种肢体威胁性疾病,在这种情况下,需要早期诊断和筋膜切开术的手术咨询以保持功能预后。通常在具有创伤性损伤机制(例如直接打击和挤压隔室)的患者中考虑诊断,尤其是在同一隔室中存在骨折的情况下。我们报告了由于非典型的非接触式创伤机制而导致的前臂急性室综合征的病例。在该患者中,建立房室综合征的诊断非常复杂,因为急性房室综合征的某些体征和症状可能归因于伸指肌共存的破裂。该报告提醒紧急医生,尽管很少见,但急性运动室综合征可能是由劳累性和非接触性创伤机制引起的。

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