Compartment Syndrome

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Introduction

Definition of compartment syndrome : 

A condition in which the circulation and function of tissues within a closed space are compromised by an increased pressure within that compartment.

Aetiology:

(1) Decreased compartment size 

  • tight dressing
  • localised external pressure
  • closure of fascial defects

(2) Increased compartmental contents

  • Bleeding : vascular injury, bleeding disorders
  • Increased  capillary permeability

    • post ischemic swelling
    • exercise
    • trauma
    • burns
    • Intra-arterial drugs
  • Increased  capillary pressure

    • exercise, venous obstruction,
    • Muscle hypertrophy
    • Infiltration of infusions
    • Nephrotic syndrome

Pathophysiology 

 

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