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The lower legs and the forearms are the most frequent sites affected by compartment syndrome. Other areas of the body such as thigh, buttock, hand, abdomen, and foot can also be affected. [ 19 ] [ 14 ] The most common cause of acute compartment syndrome is fracture of a bone, most commonly the tibia. [ 29 ]
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
Compartment syndrome is an occasional complication that may also occur in acute limb ischaemia because of the biotoxins that accumulate distal to the occlusion resulting in edema. [ 1 ] Signs and symptoms
Compartment syndrome is a clinical diagnosis, i.e., no diagnostic test conclusively proves its presence or absence, but direct measurement of the pressure in a fascial compartment, [11] and the difference between this pressure and the blood pressure, [22] may be used to assess its severity. High pressures in the compartment and a small ...
The lower leg is divided into four compartments by the interosseous membrane of the leg, the anterior intermuscular septum, the transverse intermuscular septum and the posterior intermuscular septum. [1] Each compartment contains connective tissue, nerves and blood vessels.
Compartment syndrome, according to the Cleveland Clinic, is when pressure and swelling rises in and around muscles. The injury is most commonly found in the lower leg, and it can lead to permanent ...
The anterior compartment of the leg is a fascial compartment of the lower leg. It contains muscles that produce dorsiflexion and participate in inversion and eversion of the foot, as well as vascular and nervous elements, including the anterior tibial artery and veins and the deep fibular nerve .
If signs of arterial injury are present, immediate surgery is generally recommended. [3] Multiple surgeries may be required. [4] In just over 10% of cases, an amputation of part of the leg is required. [4] Knee dislocations are rare, occurring in about 1 per 100,000 people per year. [3] Males are more often affected than females. [2]