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article

Operative Therapie des Ulcus cruris venosum

H.-J. Hermanns

Gefässchirurgie > 2006 > 11 > 4 > 281-286

:HintergrundGeprüft wird der Stellenwert operativer Verfahren in der Behandlung des Ulcus cruris venosum anhand von aktuellen Langzeitergebnissen sowie der Einsatz in deutschen Gefäßzentren, ermittelt aus den Erhebungen des Qualitätsmanagementprojektes „Varizen“ der Deutschen Gesellschaft für Gefäßchirurgie.Methoden und ErgebnisseVenenchirurgie und endovenöse Verschlusstechniken sind zur Ausschaltung...

article

Review article: A comprehensive review of unusual causes of acute limb compartment syndrome

William Steadman, Rui Wu, Alistair TM Hamilton, Martin D Richardson, more

Emergency Medicine Australasia > 34 > 6 > 871 - 876

Acute limb compartment syndrome (ALCS) is a surgical emergency that can have serious consequences unless promptly diagnosed and treated, which is particularly challenging when there is an unusual cause. This is a comprehensive review of reported causes of ALCS. From 1068 included articles, we found 299 discrete causes of ALCS including toxins, infections, endocrine pathology, haematological emergencies,...

article

Acute limb ischemia after femoro‐femoral extracorporeal life support implantation: A comparison of surgical, percutaneous, or combined vascular access in 402 patients

Markus J. Wilhelm, Devdas Thomas Inderbitzin, Amos Malorgio, Raed Aser, more

Artificial Organs > 46 > 11 > 2284 - 2292

Background Extracorporeal life support (ECLS) is a salvage treatment for acute circulatory failure. Our high‐volume tertiary centre performs more than 100 implants annually and provides ECLS‐transports. With this study, we aimed to analyze the incidence and risk factors of limb ischemia depending on the vascular access. Methods Between January 1, 2007, and December 31, 2018, 937 patients received...

article

Diagnosis that clinicians don't think of, serum sickness‐like reaction

Vildan Güngörer, Kübra Ertan, Şükrü Arslan

Pediatrics International > 64 > 1 > n/a - n/a

article

Interrupted Incision Fasciotomy for Acute Compartment Syndrome After Extracorporeal Membrane Oxygenation: Surgical Technique with a Report of Two Cases

Dojoon Park, Yoon‐Chung Kim, Sung Hyun Cho, Jongmin Kim, more

Orthopaedic Surgery > 14 > 1 > 169 - 173

Background After extracorporeal membrane oxygenation (ECMO), acute compartment syndrome (ACS) can develop because of limb ischemia or reperfusion. The standard treatment for ACS is emergency fasciotomy. We introduced an interrupted incision technique instead of a long double‐incision to reduce blood loss and subsequent hypovolemia in ECMO patients. Case presentation Two patients were treated venoarterial...

article

Systematic review of outcome parameters following treatment of chronic exertional compartment syndrome in the lower leg

Sanne Vogels, Ewan D. Ritchie, Thijs T. C. F. Dongen, Marc R. M. Scheltinga, more

Scandinavian Journal of Medicine & Science in Sports > 30 > 10 > 1827 - 1845

Objective Surgery is the gold standard in the management of chronic exertional compartment syndrome (CECS) of the lower extremity, although recent studies also reported success following gait retraining. Outcome parameters are diverse, and reporting is not standardized. The aim of this systematic review was to analyze the current evidence regarding treatment outcome of CECS in the lower leg. Material...

article

The case of missing skin: Congenital Volkmann ischemic contracture

Kathleen M. Coerdt, Emily L. Guo, Karl M. Saardi, Kaiane A. Habeshian

Pediatric Dermatology > 37 > 4 > 762 - 763

Congenital Volkmann ischemic contracture (CVIC) is an exceedingly rare neonatal compartment syndrome caused by intrauterine ischemia and external compression. It presents at birth with necrotic cutaneous lesions and neurologic impairment, typically in a distal upper extremity. Diagnosis and treatment are often delayed in neonates, leading to long‐term neurologic sequelae. We present a rare case of...

article

Tiefes, posteriores chronisches belastungsinduziertes Kompartmentsyndrom als Ursache von Beinschmerz

Michiel Winkes, Percy van Eerten, Marc Scheltinga

Der Unfallchirurg > 2019 > 122 > 11 > 834-839

Bei einem kleinen Anteil der Patienten mit belastungsinduziertem Beinschmerz liegt ein tiefes posteriores chronisches Belastungskompartmentsyndrom (deep posterior chronic exertional compartment syndrom [dp-CECS]) vor. Die Betroffenen geben Schmerz, Verkürzungen und Krämpfe tief in den Wadenmuskeln an, die durch körperliche Aktivität hervorgerufen werden, aber in geringerem Maße auch in Ruhe bestehen...

article

Chronisches belastungsbedingtes Kompartmentsyndrom als Ursache anterolateraler Beinschmerzen

Johan de Bruijn, Michiel Winkes, Percy van Eerten, Marc Scheltinga

Der Unfallchirurg > 2019 > 122 > 11 > 840-847

Belastungsinduzierte Beinschmerzen und Anspannung können durch ein chronisches belastungsbedingtes Kompartmentsyndrom („chronic exertional compartment syndrome“, CECS) verursacht werden. Ein CECS kann zwar in jedem Muskelkompartiment entstehen, aber die meisten Patienten leiden an einem CECS des M. tibialis anterior (ant-CECS). Typisch dabei ist, dass ein Patient mit ant-CECS bis zum Ende der sportlichen...

article

Selective fasciotomy for acute traumatic lower leg compartment syndrome: is it feasible?

B. A. Hatz, H. Frima, C. Sommer

Archives of Orthopaedic and Trauma Surgery > 2019 > 139 > 12 > 1755-1762

Introduction The standard treatment for an acute compartment syndrome (ACS) of the lower leg is a four compartment fasciotomy. It can be performed through either one lateral or a lateral and medial incision. Selective fasciotomy, only opening the compartments with elevated pressure, is a less invasive procedure. The aim of this study was to describe a procedure of selective fasciotomy after pressure...

article

Bilaterales Kompartmentsyndrom der Unterschenkel des Kindes nach Abdominaltrauma

T. Briese, J. Stolberg-Stolberg, S. Ochman, M. Laukötter, more

Der Unfallchirurg > 2019 > 122 > 9 > 730-735

Es wird über einen Fall eines „well leg compartment syndrome“ (WLCS) bei einer 9‑jährigen Patientin, die 24 h nach einem stumpfen abdominellen Trauma mit Leberlazeration in unserem Schockraum vorgestellt wurde, berichtet. Das Abdomen wurde bereits auswärtig gepackt. Nach der „Second-look“-Operation und dem Entfernen der „packs“ präsentierte die Patientin nach 48 h ein manifestes Kompartmentsyndrom...

article

Low compartment pressure and myoglobin levels in tibial fractures with suspected acute compartment syndrome

Abraham Nilsson, Björn Alkner, Patrick Wetterlöv, Stefan Wetterstad, more

BMC Musculoskeletal Disorders > 2019 > 20 > 1 > 1-7

Background The intense ischemic pain of acute compartment syndrome can be difficult to discriminate from the pain related to an associated fracture. Lacking objective measures, the decision to perform fasciotomy is often only based on clinical findings and performed at a low threshold. Biomarkers of muscle cell damage might help to identify and monitor patients at risk. In patients with fractures,...

article

Morbidity of interventions in previously untreated Dupuytren disease: A systematic review

Rachael Leung, Robert Capstick, Angela Lei, David Nour, more

European Journal of Plastic Surgery > 2019 > 42 > 2 > 111-118

Treatment morbidity in previously untreated, or primary, Dupuytren disease has limited representation in the literature. Despite the clinical importance of stratifying risk of intervention based on treatment history, most articles addressing management complications pool both primary and recurrent disease. The aim of this systematic review was to quantify interventional morbidity in primary Dupuytren...

article

A Gantzer muscle arising from the brachialis and flexor digitorum superficialis: embryological considerations and implications for median nerve entrapment

Matthew J. Zdilla, Paula Pacurari, Tyler J. Celuck, Reed C. Andrews, more

Anatomical Science International > 2019 > 94 > 1 > 150-153

Gantzer muscles are variant muscles in the anterior forearm inserting into the flexor pollicis longus or, less often, the flexor digitorum profundus. The presence of Gantzer muscles can cause a compressive neuropathy affecting the anterior interosseous nerve (Kiloh–Nevin syndrome). These muscles must also be considered when anterior forearm fasciotomies are performed for the management of acute compartment...

article

Acute lumbar paraspinal compartment syndrome: a systematic review

William Alexander, Nelson Low, George Pratt

ANZ Journal of Surgery > 88 > 9 > 854 - 859

While still a rare entity, acute lumbar paraspinal compartment syndrome has an increasing incidence. Similar to other compartment syndromes, acute lumbar paraspinal compartment syndrome is defined by raised pressure within a closed fibro‐osseous space, limiting tissue perfusion within that space. The resultant tissue ischaemia presents as acute pain, and if left untreated, it may result in permanent...

article

Acute Compartment Syndrome: Do guidelines for diagnosis and management make a difference?

D. Bodansky, A. Doorgakant, J. Alsousou, H.J. Iqbal, more

Injury > 2018 > 49 > 9 > 1699-1702

The best outcomes following Acute Compartment Syndrome (ACS) are attributed to early diagnosis and treatment. National guidelines were issued in the United Kingdom in 2014 (BOAST 10) to standardise and improve management. We analysed standards of diagnosis and management before and after the introduction of the guidelines.We retrospectively reviewed the data of all patients with ACS requiring fasciotomy...

article

Fasciotomy for chronic exertional compartment syndrome of the leg: clinical outcome in a large retrospective cohort

J. P. H. Tam, A. G. F. Gibson, J. R. D. Murray, M Hassaballa

European Journal of Orthopaedic Surgery & Traumatology > 2019 > 29 > 2 > 479-485

Background Chronic exertional compartment syndrome (CECS) is an overuse disorder typically affecting an athletic population. CECS is a diagnosis based on history and intracompartmental pressure (ICP) testing. CECS patients can be treated surgically by fasciotomy; however, research on the relationship between ICP and patient symptoms and also between ICP and patient-reported outcome post-fasciotomy...

article

Combat Soft Tissue Injuries

Jason R. Bingham, Mark W. Bowyer

Current Trauma Reports > 2018 > 4 > 4 > 333-338

Purpose of Review The soft tissue injuries encountered in combat are generally orders of magnitude more dramatic that those seen in civilian practice. The goal of this chapter is to help shorten the learning curve to care for the extensive soft tissue wounds of war by reviewing the limited research available on the subject and sharing lessons learned from the battlefield. Recent Findings Data from...

article

Comparison of lower extremity fasciotomy wound closure techniques in children: vacuum-assisted closure device versus temporary synthetic skin replacement

Hannah Rachel Bussell, Christoph Alexander Aufdenblatten, Corina Gruenenfelder, Stefan Altermatt, more

European Journal of Trauma and Emergency Surgery > 2019 > 45 > 5 > 809-814

Purpose No clear consensus on the optimal treatment of fasciotomy wounds due to acute compartment syndrome of the lower leg in children exists. We therefore compared two commonly used methods to close fasciotomy wounds, Epigard, a temporary synthetic skin replacement (SSR) and the vacuum-assisted closure (V.A.C.) device, in respect of treatment duration and complication rates. Methods We studied...

article

The impacts of internal versus external fixation for tibial fractures with simultaneous acute compartment syndrome

Hossein Akbari Aghdam, Erfan Sheikhbahaei, Hamidreza Hajihashemi, Davoud Kazemi, more

European Journal of Orthopaedic Surgery & Traumatology > 2019 > 29 > 1 > 183-187

Purpose High-energy tibial fractures may cause compartment syndrome, which needs fasciotomy. However, in this procedure, close fractures become an open wound and choosing the best type of fixation for this situation has been a problem. We assumed early open reduction and internal fixation (ORIF) instead of late internal fixation or external fixation, or stage-based approach is a better method. Methods...

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FASCIOTOMY (176)
COMPARTMENT SYNDROME (72)
ACUTE COMPARTMENT SYNDROME (13)
TRAUMA (11)
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CHRONIC EXERTIONAL COMPARTMENT SYNDROME (6)
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Search results

Operative Therapie des Ulcus cruris venosum

Review article: A comprehensive review of unusual causes of acute limb compartment syndrome

Acute limb ischemia after femoro‐femoral extracorporeal life support implantation: A comparison of surgical, percutaneous, or combined vascular access in 402 patients

Diagnosis that clinicians don't think of, serum sickness‐like reaction

Interrupted Incision Fasciotomy for Acute Compartment Syndrome After Extracorporeal Membrane Oxygenation: Surgical Technique with a Report of Two Cases

Systematic review of outcome parameters following treatment of chronic exertional compartment syndrome in the lower leg

The case of missing skin: Congenital Volkmann ischemic contracture

Tiefes, posteriores chronisches belastungsinduziertes Kompartmentsyndrom als Ursache von Beinschmerz

Chronisches belastungsbedingtes Kompartmentsyndrom als Ursache anterolateraler Beinschmerzen

Selective fasciotomy for acute traumatic lower leg compartment syndrome: is it feasible?

Bilaterales Kompartmentsyndrom der Unterschenkel des Kindes nach Abdominaltrauma

Low compartment pressure and myoglobin levels in tibial fractures with suspected acute compartment syndrome

Morbidity of interventions in previously untreated Dupuytren disease: A systematic review

A Gantzer muscle arising from the brachialis and flexor digitorum superficialis: embryological considerations and implications for median nerve entrapment

Acute lumbar paraspinal compartment syndrome: a systematic review

Acute Compartment Syndrome: Do guidelines for diagnosis and management make a difference?

Fasciotomy for chronic exertional compartment syndrome of the leg: clinical outcome in a large retrospective cohort

Combat Soft Tissue Injuries

Comparison of lower extremity fasciotomy wound closure techniques in children: vacuum-assisted closure device versus temporary synthetic skin replacement

The impacts of internal versus external fixation for tibial fractures with simultaneous acute compartment syndrome

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