• Compartments limited to osseofacial structures and containing muscle and neurovascular structures are called compartment syndrome.
• Most common cause of compartment syndrome in adults: Tibia fracture
• The most common compartment syndrome in children: Humerus supracondylar fracture
Etiology
• Trauma (fracture, edema, hematoma)
• Tumor
• Burn
• Snake bite
• Angioneurotic edema
Clinic
• Venous congestion occurs when the intracompartmental pressure exceeds 30 mmHg.
• Ischemia develops due to arteriolar spasm.
• The first symptom is deep severe pain. This pain does not go away with simple analgesics and immobilization.
• Since the spasm is at the arteriolar level in the early period, a pulse can be taken. In the later period, 5P symptoms appear.
• Therefore, early distal pulse does not rule out compartment syndrome.
• Circular Plaster must be checked for the development of compartment syndrome in the first 24 hours.
• Surgical decompression is required urgently in the treatment and fasciotomy is applied for this purpose.