compartment syndrome…

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wrist anatomy, compartment syndrome involves, compression of nerves, blood vessels, an enclosed space, leads to impaired blood flow, muscle, nerve damage, thick layers of tissue, fascia separate groups of muscles, in the arms, legs from each other, inside each layer of fascia, confined space, a compartment, includes the muscle tissue, nerves, blood vessels, surrounded by the fascia, wires surrounded by insulation, unlike a balloon, fascia, not expand, swelling, compartment, lead to increasing pressure in that compartment, compress the muscles, blood vessels, nerves, pressure is high enough, blood flow, compartment, blocked, lead to permanent injury, muscle, nerves, pressure lasts long enough, limb, die, amputated, swelling compartment syndrome is associated, high-energy trauma, a car accident, crush injury, surgery, compartment syndrome, due to tight bandages, casts, significant swelling, pressure, build up, cause compartment syndrome, chronic compartment syndrome, repetitive activities, running that increase the pressure, compartment only, compartment syndrome, common, in the lower leg, forearm, in the hand, foot, thigh, upper arm, hallmark symptom of compartment syndrome is severe pain, does not respond to elevation, pain medication, in more advanced cases, decreased sensation, weakness, paleness, the skin, severe pain, occur, a muscle running, a compartment is passively moved, doctor moves the toes up, a patient, compartment syndrome, in the foot, lower leg, experience severe pain, skin overlying the compartment, tensely swollen, shiny, pain, the compartment is squeezed, absolutely diagnose this condition involves directly measuring the pressure, in the compartment by inserting a needle attached to a pressure meter, compartment, compartment pressure is greater than 45 mmhg, the pressure, 30 mmhg, the diastolic blood pressure, lower number, the blood pressure, diagnosis is made, chronic compartment syndrome is suspected, test must be performed immediately, activity that causes, pain, acute, chronic compartment syndrome, surgery, long incisions, in the fascia to release the pressure building inside, wounds, generally left open, covered, a sterile dressing, a second surgery, 48-72 hours later, skin grafts required to close the wound, a cast, bandage is causing the problem, dressing, loosened, cut down to relieve the pressure, diagnosis of compartment syndrome is made promptly, surgical release performed, outlook is excellent, recovery, the muscles, nerves inside the compartment, overall prognosis, determined by the injury the syndrome, delay in diagnosis, permanent nerve injury, loss of muscle function, more common, injured person is unconscious, heavily sedated, incapable of complaining, permanent nerve injury, occur after 12-24 hours of compression, complications include permanent injury to nerves, muscles, dramatically impair function, volkmann's ischemia, in more severe cases, limbs, amputated, all the muscles, in the compartment have died from lack of oxygen, have suffered an injury, have severe swelling, pain, does not improve, pain medications, contact health care provider to be evaluated, compartment syndrome, prevent compartment syndrome, very aware of this condition, early diagnosis, prevent many, the complications, people placed in casts need to be made aware, the risk of swelling, see health care provider, they have increasing pain under the cast despite elevation, pain medicine.