Compartmentsyndrome Causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;
Overview
Any internal or external event that increases pressure within a compartment can cause compartment syndrome. Thus, increased fluid content or decreased compartment size can lead to the condition.
Causes
Increased fluid content can be caused by the following [1][2][3][4][5][6][7][8][9]:
- Hemorrhage (commonly due to the Fractures or gunshot wounds. specifically from a large vessel injury)
- Surgery
- Intensive muscle use (eg, tetany, vigorous exercise, seizures)
- Everyday exercise activities (eg, stationary bicycle use, horseback riding)
- Burns
- Envenomation
- Decreased serum osmolarity (eg, nephrotic syndrome)
- Postischemic swelling
- Drug/alcohol abuse and coma
- Rhabdomyolysis
- Gastrocnemius or peroneus muscle tear (lower extremity)
- Ruptured Baker cyst
- Influenza myositis
- Autoimmune vasculitis
- Androgen abuse/muscle hypertrophy
- Deep venous thrombosis
- hemorrhage (due to the Fractures or gunshot wounds)
- Upper extremity fractures
Iatrogenic causes
Iatrogenic causes of compartment syndrome include the following:
- Military antishock trousers
- Tight splints, casts, dressings
- Lithotomy position (lower extremity cases)
- Malfunctioning sequential compression devices
- Intramuscular, intra-arterial, or intracompartmental injection
- Intraosseous infusion
- Massive hypertonic IV fluid infusion
- Pressurized intravenous (IV) infusion of parenteral hypertonic contrast agent
- Attempts at cannulating veins and arteries of the arm in patients on systemic anticoagulants or patients treated with thrombolytic drugs
- Intraoperative use of a pressurized pulsatile irrigation system
- Use of a pump for infusion of fluids into the joint during an arthroscopic procedure
- Chemotherapy drugs
References
- ↑ Godon B, Crielaard JM (February 2005). "[Compartment syndrome and sport traumatology]". Rev Med Liege (in French). 60 (2): 109–16. PMID 15819374.
- ↑ Mars M, Hadley GP (July 1998). "Raised intracompartmental pressure and compartment syndromes". Injury. 29 (6): 403–11. PMID 9813693.
- ↑ Frink M, Hildebrand F, Krettek C, Brand J, Hankemeier S (April 2010). "Compartment syndrome of the lower leg and foot". Clin. Orthop. Relat. Res. 468 (4): 940–50. doi:10.1007/s11999-009-0891-x. PMC 2835588. PMID 19472025.
- ↑ McDonald S, Bearcroft P (June 2010). "Compartment syndromes". Semin Musculoskelet Radiol. 14 (2): 236–44. doi:10.1055/s-0030-1253164. PMID 20486031.
- ↑ Johnston-Walker E, Hardcastle J (2011). "Neurovascular assessment in the critically ill patient". Nurs Crit Care. 16 (4): 170–7. doi:10.1111/j.1478-5153.2011.00431.x. PMID 21651657.
- ↑ Suzuki T, Moirmura N, Kawai K, Sugiyama M (January 2005). "Arterial injury associated with acute compartment syndrome of the thigh following blunt trauma". Injury. 36 (1): 151–9. doi:10.1016/j.injury.2004.03.022. PMID 15589934.
- ↑ Alexander W, Low N, Pratt G (January 2018). "Acute lumbar paraspinal compartment syndrome: a systematic review". ANZ J Surg. doi:10.1111/ans.14342. PMID 29316189.
- ↑ Thati S, Carlson C, Maskill JD, Anderson JG, Bohay DR (June 2008). "Tibial compartment syndrome and the cavovarus foot". Foot Ankle Clin. 13 (2): 275–305, vii. doi:10.1016/j.fcl.2008.02.001. PMID 18457774.
- ↑ Fulkerson E, Razi A, Tejwani N (February 2003). "Review: acute compartment syndrome of the foot". Foot Ankle Int. 24 (2): 180–7. doi:10.1177/107110070302400214. PMID 12627629.