![]() Fortunately, this acute form is a rarity. These intense and rapid phenomena occur mainly after a fracture or major trauma (accident) to the forearm. If signs of necrosis are present, surgical intervention within 6 hours is important to minimize nerve damage. If little tissue is damaged, resumption of sports activities is possible after 4-6 weeks. The subsequent rehabilitation is aimed at the recovery of any damaged tissue and improving hand/arm function. This involves cutting the connective tissue membrane, which directly reduces the pressure within the compartment. In the event of acute compartment syndrome, the treatment will depend on the measured pressure, but it will often require surgical intervention to normalize the compartment pressure. The treatment of chronic compartment syndrome consists mainly of rest, possibly anti-inflammatories, and physiotherapy for assistance and help in reducing the pressure. In the event of chronic compartment syndrome, this pressure measurement is less useful because the symptoms disappear within a few minutes. The pressure is measured to determine both the level of the pressure and any treatment options. In the event of suspected acute compartment syndrome, rapid action is required to prevent necrosis. This is particularly useful in the event of acute compartment syndrome. In the event of suspected compartment syndrome, a pressure measurement may be carried out to determine the pressure in the compartment in question. The diagnosis of compartment syndrome is made primarily on the basis of the patient's story, specific questions and a physical examination. Increased pressure within one or more compartments (pressure measurement).The symptoms of acute compartment syndrome are: If the symptoms of tension and cramping persist, this is referred to as acute compartment syndrome. In chronic compartment syndrome, the symptoms disappear for a few minutes (0-15 min) after exertion. When the forearm is touched (palpated), it feels harder due to increased muscle tension. There may be a loss of strength and tingling in the forearm and all the fingers. The feeling of cramps and/or pain is present, particularly when subjected to static loads. Signs & symptomsĬhronic compartment syndrome mainly manifests as increasing, cramp-like pain. ![]() It can also occur with long-term plaster casts, because the forearm is not moved for a long time and the fluid cannot be drained properly, so that the pressure remains too high. ![]() Acute compartment syndrome can occur as a result of swelling after a bone fracture. If many gripping movements are made in everyday life, for example trimming hedges, this condition can also occur.Īs described, this is caused by increased pressure inside an enclosed space. This may include sports such as motocross, gymnastics, mountaineering and sport climbing. For the forearm, this is mainly gripping. Static muscle strength is the tightening of muscles without any movement taking place. Cause and historyĬhronic compartment syndrome of the forearm is a condition seen in sports activities that require a lot of static muscle strength. ![]() This reduces the ability of the tissue in the compartment to recover and creates a vicious circle: because the muscles’ ability to recover is not as good, there is more strain which, in turn, causes swelling, etc. This can cause damage to the tissue in the compartment.Īlso, the blood supply will reduce, which will mean less oxygen reaching the muscles. A fascia cannot stretch, so when there is swelling, the pressure increases inside that compartment. Description of conditionĬompartments are groups of muscles, blood vessels and nerves that are surrounded by a connective tissue membrane ( fascia). Two forms are distinguished: chronic and acute compartment syndrome.
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