3.8 Article

Acute compartment syndrome of the extremities

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CHIRURGIE
卷 94, 期 1, 页码 93-102

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SPRINGER HEIDELBERG
DOI: 10.1007/s00104-022-01624-9

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Compartment syndrome; Soft tissue injury; Ischemia; Perfusion; Fasciotomy

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Acute compartment syndrome of the extremities is a surgical emergency that requires rapid diagnosis and immediate surgical treatment to prevent potential disastrous consequences. A basic understanding of this condition is crucial for trauma surgeons, as timely treatment relies on rapid diagnosis and evaluation of indications.
Acute compartment syndrome of the extremities is a surgical emergency and a rapid diagnosis and immediate surgical treatment are essential for the outcome. The cause is an increase in the tissue pressure inside a muscle compartment enclosed by fasciae and the resulting disruption of microperfusion. This can have potentially disastrous consequences, such as loss of the extremity due to extensive tissue necrosis or a threat to life due to infectious complications. Although mostly triggered by trauma, a multitude of other causes can lead to the formation of a compartment syndrome, so that a basic knowledge of this condition is of great importance not only for trauma surgeons. This is particularly true because a timely treatment necessitates rapid diagnosis and evaluation of the indications. This article provides an overview of the underlying pathophysiology, the causes, the symptoms and the treatment of acute compartment syndrome.

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