Compartment Syndrome Flashcards Preview

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Flashcards in Compartment Syndrome Deck (16)
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1
Q

Central foot compartment muscles

A
FDB
Lumbricals
QP
AD Hallucis
FDL
PL
TP
2
Q

Medial foot compartment muscles

A
AB Hallucis
FHB
FHL
PL
TP
3
Q

Interosseus compartment muscles

A

Interossei muscles

4
Q

Lateral foot compartment muscles

A

AB DM

FDM

5
Q

Manoli and Weber described what extra foot muscle compartment? What muscles are included?

A

Calcaneal compartment

-QP muscle

6
Q

Explain the clinical findings associated with compartment syndrome

A
Recalcitrant pain
Tenseness
Sensory deficits
Motor Deficits
Pain w/ passive stretch
7
Q

Explain the pathophysiology of compartment syndrome

A

Bleeding and edema lead to increased pressure. The local venous pressure increased and this reduces the AV gradient. There is a collapse of veins and loss of blood flow. Microvascular compromise and myoneural damage.

8
Q

Normal resting pressure

A

0-8

9
Q

Monitoring zone for resting pressure

A

30-40

10
Q

Pathologic clinical symptoms

A

40 mmHg in the presence of clinical symptoms

11
Q

Additional studies to order for compartment syndrome

A
ECG
UA 
CBC
Electrolytes
BUN/Cr
CK
12
Q

If more than 2 compartments are involved, what should you do?

A

Decompress all the compartments

13
Q

Post-op management for compartment syndrome

A
Monitor pressure
Patman-Thompson Technique
Splinting
Passive ROM
Delayed closure
14
Q

Describe the Patman-Thompson

A

Pack the wound less and less everyday. Then use steri-strips to close the wound more and more each day

15
Q

Complications of compartment syndrome

A

Inadequate decompression
Volkmann’s contracture
Infection
Myoglobinuric renal failure

16
Q

What is a Volkmann’s Contracture?

A

Permanent atrophy of muscles and neuro deficits