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Orthop Clin North Am. 2016 Jul;47(3):579-87. doi: 10.1016/j.ocl.2016.02.004. Epub 2016 Apr 22.

Compartment Syndrome in Children.

Author information

1
Department of Orthopedics, Herbert Wertheim College of Medicine, Florida International University, Baptist Children's Hospital, 8740 North Kendall Drive, Suite 115, Miami, FL 33176, USA. Electronic address: pooyah@baptisthealth.net.
2
Department of Orthopedics, University of Kentucky, 740 South Limestone, Room J-111, Lexington, KY 40536, USA.

Abstract

Compartment syndrome in children can present differently than adults. Increased analgesic need should be considered the first sign of evolving compartment syndrome in children. Children with supracondylar humerus fractures, floating elbow injuries, operatively treated forearm fractures, and tibia fractures are at high risk for developing compartment syndrome. Elbow flexion beyond 90° in supracondylar humerus fractures and closed treatment of forearm fractures in floating elbow injuries are associated with increased risk of compartment syndrome. Prompt diagnosis and treatment with fasciotomy in children result in excellent long-term outcomes.

KEYWORDS:

Compartment syndrome; Fasciotomy; Intracompartmental pressure; Near-infrared spectroscopy; Volkman ischemic contracture

PMID:
27241380
DOI:
10.1016/j.ocl.2016.02.004
[Indexed for MEDLINE]

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