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[PMID]:29169597
[Au] Autor:Kistler JM; Ilyas AM; Thoder JJ
[Ad] Endereço:Department of Orthopedic Surgery and Sports Medicine, Temple University, 3401 N. Broad Street, 5th Floor Boyer Pavilion, Philadelphia, PA 19104, USA. Electronic address: Justin.kistler2@tuhs.temple.edu.
[Ti] Título:Forearm Compartment Syndrome: Evaluation and Management.
[So] Source:Hand Clin;34(1):53-60, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Compartment syndrome of the forearm is uncommon but can have devastating consequences. Compartment syndrome is a result of osseofascial swelling leading to decreased tissue perfusion and tissue necrosis. There are numerous causes of forearm compartment syndrome and high clinical suspicion must be maintained to avoid permanent disability. The most widely recognized symptoms include pain out of proportion and pain with passive stretch of the wrist and digits. Early diagnosis and decompressive fasciotomy are essential in the treatment of forearm compartment syndrome. Closure of fasciotomy wounds can often be accomplished by primary closure but many patients require additional forms of soft tissue coverage procedures.
[Mh] Termos MeSH primário: Síndromes Compartimentais/diagnóstico
Síndromes Compartimentais/cirurgia
Antebraço/cirurgia
[Mh] Termos MeSH secundário: Síndromes Compartimentais/etiologia
Descompressão Cirúrgica
Fasciotomia
Antebraço/irrigação sanguínea
Seres Humanos
Tempo para o Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


  2 / 4131 MEDLINE  
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[PMID]:29169596
[Au] Autor:Rubinstein AJ; Ahmed IH; Vosbikian MM
[Ad] Endereço:Department of Orthopaedic Surgery, Rutgers University, New Jersey Medical School, 140 Bergen Street, D-1610, Newark, NJ 07103, USA.
[Ti] Título:Hand Compartment Syndrome.
[So] Source:Hand Clin;34(1):41-52, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acute hand compartment syndrome is a potentially devastating condition a hand surgeon may be called on to evaluate and treat. This pathophysiologic cascade of events that begins with an inciting event progresses to increased intracompartmental pressure, tissue necrosis, and resultant morbidity and potentially mortality. Many patients present with an altered sensorium, making the diagnosis challenging, requiring the clinician to rely on clinical findings and intracompartmental pressure measurements. The timing to definitive treatment with complete decompressive fasciotomies is critical to optimize patient outcomes. The goals of treatment are to prevent contracture, functional disability, and the loss of limb or life.
[Mh] Termos MeSH primário: Síndromes Compartimentais/cirurgia
Mãos/irrigação sanguínea
Mãos/cirurgia
[Mh] Termos MeSH secundário: Síndromes Compartimentais/diagnóstico
Síndromes Compartimentais/etiologia
Contratura/etiologia
Descompressão Cirúrgica
Fasciotomia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


  3 / 4131 MEDLINE  
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[PMID]:29428042
[Au] Autor:Hafiz S; Zubowicz EA; Abouassaly C; Ricotta JJ; Sava JA
[Ti] Título:Extremity Vascular Injury Management: Good Outcomes Using Selective Referral to Vascular Surgeons.
[So] Source:Am Surg;84(1):140-143, 2018 Jan 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Revascularization after extremity vascular injury has long been considered an important skill among trauma surgeons. Increasingly, some trauma surgeons defer vascular repair in response to training or practice patterns. This study was designed to document results of extremity revascularization surgery to evaluate trauma surgeon outcomes and judicious referral of more complex injuries to vascular surgeons (VAS). The trauma registry of an urban level I trauma center was used to identify all patients from 2003 to 2013 who underwent an early (<24 hours) procedure for urgent management of acute injury to extremity vessels. Patients were managed by trauma (TRA) versus VAS based on the practice pattern of the on-call trauma surgeon. Injury and outcome variables were recorded. Of 115 patients, 84 patients were revascularized by trauma and 31 vascular surgeries. There was no difference in complication rates or frequency of any type of complication associated with repairs performed by VAS or TRA. There were similar rates between the two groups for patients with multiple injuries, such as venous, bone or tendon, and nerve injury to the affected extremity. One VAS patient and two TRA patients developed compartment syndrome. In appropriately selected patients, trauma surgeons achieve good outcomes after revascularization of injured extremities.
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Seleção de Pacientes
Extremidade Superior/irrigação sanguínea
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/cirurgia
Ferimentos Penetrantes/diagnóstico
Ferimentos Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Síndromes Compartimentais/prevenção & controle
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Padrões de Prática Médica
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Centros de Traumatologia
Índices de Gravidade do Trauma
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180212
[St] Status:MEDLINE


  4 / 4131 MEDLINE  
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[PMID]:29443665
[Au] Autor:Lai HT; Huang SH
[Ad] Endereço:Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
[Ti] Título:Phlegmasia Cerulea Dolens with Compartment Syndrome.
[So] Source:N Engl J Med;378(7):658, 2018 Feb 15.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Síndromes Compartimentais/etiologia
Trombose Venosa/complicações
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Veia Femoral
Seres Humanos
Veia Ilíaca
Masculino
Veia Cava Inferior
Trombose Venosa/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMicm1704996


  5 / 4131 MEDLINE  
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[PMID]:29252649
[Au] Autor:Lavery KP; Parcells BW; Hosea T
[Ad] Endereço:Department of Orthopaedic Surgery, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
[Ti] Título:Posterior Tibial Arterial System Deficiency Mimicking Chronic Exertional Compartment Syndrome: A Case Report.
[So] Source:JBJS Case Connect;6(3):e72, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: A 15-year-old female competitive high school basketball player presented as an outpatient with a 3-month history of bilateral exertional calf pain. Patient history and compartment pressure measurements were consistent with the diagnosis of chronic exertional compartment syndrome, and the patient underwent bilateral fasciotomies. Postoperatively, her symptoms recurred and she was found to have a deficient posterior tibial arterial system bilaterally, as confirmed on advanced imaging. CONCLUSION: We advocate the careful consideration of vascular etiologies in athletes who present with exertional leg pain.
[Mh] Termos MeSH primário: Síndromes Compartimentais/diagnóstico
Artérias da Tíbia/anormalidades
[Mh] Termos MeSH secundário: Adolescente
Diagnóstico Diferencial
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00071


  6 / 4131 MEDLINE  
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[PMID]:29393309
[Au] Autor:Ali S; Ranney ML; Jarman AF
[Ad] Endereço:Resident Physician, Department of Emergency Medicine, Alpert Medical School of Brown University.
[Ti] Título:Transient Orbital Compartment Syndrome Caused by Spontaneous Lamina Papyracea Dehiscence.
[So] Source:R I Med J (2013);101(1):30-32, 2018 Feb 02.
[Is] ISSN:2327-2228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Orbital compartment syndrome typically occurs due to trauma or burns. Here we discuss a case of spontaneous lamina papyracea dehiscence associated with transient orbital compartment syndrome. A previously healthy woman presented to the Emergency Department complaining of unilateral eye pain after nose blowing. The patient did not have any pupillary or extra-ocular movement abnormalities; however, she did have mildly decreased visual acuity in the affected eye. Intraocular pressure was found to be elevated and a subsequent CT scan showed orbital emphysema with spontaneous dehiscence of the lamina papyracea. The intraocular pressure decreased within hours, and ultimately, she required no intervention. [Full article available at http://rimed.org/rimedicaljournal-2018-02.asp].
[Mh] Termos MeSH primário: Síndromes Compartimentais/etiologia
Enfisema/etiologia
Hipertensão Ocular/etiologia
Órbita/patologia
Doenças Orbitárias/etiologia
[Mh] Termos MeSH secundário: Adulto
Síndromes Compartimentais/diagnóstico por imagem
Síndromes Compartimentais/patologia
Enfisema/diagnóstico por imagem
Enfisema/patologia
Feminino
Seres Humanos
Hipertensão Ocular/diagnóstico por imagem
Hipertensão Ocular/patologia
Órbita/diagnóstico por imagem
Doenças Orbitárias/diagnóstico por imagem
Doenças Orbitárias/patologia
Remissão Espontânea
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  7 / 4131 MEDLINE  
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[PMID]:29206014
[Au] Autor:Gadbois JA; McMullan JT
[Ti] Título:Prolonged Kneeling: Why can't your patient get up from a kneeling position?
[So] Source:JEMS;41(12):14-5, 2016 12.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acidentes por Quedas
Síndromes Compartimentais/diagnóstico
Serviços Médicos de Emergência
Rabdomiólise/diagnóstico
[Mh] Termos MeSH secundário: Doença Aguda
Diagnóstico Diferencial
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  8 / 4131 MEDLINE  
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[PMID]:29245336
[Au] Autor:Hsieh YH; Weng TH; Tai MC; Chien KH
[Ad] Endereço:Department of Ophthalmology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).
[Ti] Título:Amelioration of acute orbital compartment syndrome following transvenous embolization for an indirect carotid-cavernous fistula: A case report.
[So] Source:Medicine (Baltimore);96(49):e9096, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Orbital compartment syndrome (OCS) is a rare occurrence after transvenous embolization of indirect carotid-cavernous fistula (CCF). A lateral canthotomy and cantholysis are the most commonly performed surgical interventions. In our case, as the acute OCS occurred immediately after an uneventful transvenous embolization, an orbital floor orbitectomy was performed. PATIENT CONCERNS: Here, we present a rare case of a 59-year-old patient who required a transvenous embolization of an indirect CCF and subsequently immediately developed an acute OCS. DIAGNOSES: An indirect CCF was revealed using brain magnetic resonance angiography and a transvenous embolization of the fistula was performed using coils. Post-embolization angiograms revealed an occlusion of the CCF. INTERVENTIONS: After the development of a relative afferent pupillary defect and acute OCS, we performed a lateral canthotomy, superior and inferior cantholysis, and an orbital floor orbitectomy. Subsequently, visual acuity and intraocular pressure improved. LESSONS: Our case is the first report of acute OCS occurring after transvenous embolization of a CCF that required further orbital floor decompression to prevent permanent visual loss. Moreover, our case demonstrates that acute OCS may rapidly develop after transvenous embolization due to superior ophthalmic venous (SOV) thrombosis and that an early intervention may reduce the risk of visual impairment.
[Mh] Termos MeSH primário: Síndromes Compartimentais/etiologia
Embolização Terapêutica/efeitos adversos
Órbita
[Mh] Termos MeSH secundário: Fístula Carotidocavernosa/terapia
Síndromes Compartimentais/cirurgia
Seres Humanos
Pressão Intraocular
Angiografia por Ressonância Magnética
Masculino
Meia-Idade
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009096


  9 / 4131 MEDLINE  
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[PMID]:29059243
[Au] Autor:Gustafsson P; Crenshaw AG; Edmundsson D; Toolanen G; Crnalic S
[Ad] Endereço:Department of Surgical and Perioperative Sciences (Orthopaedics), Umeå University, Umeå, Sweden.
[Ti] Título:Muscle oxygenation in Type 1 diabetic and non-diabetic patients with and without chronic compartment syndrome.
[So] Source:PLoS One;12(10):e0186790, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Type 1 diabetic patients and non-diabetic patients were referred for evaluation for chronic exertional compartment syndrome (CECS) based on clinical examination and complaints of activity-related leg pain in the region of the tibialis anterior muscle. Previous studies using near-infrared spectroscopy (NIRS) showed greater deoxygenation during exercise for CECS patients versus healthy controls; however, this comparison has not been done for diabetic CECS patients. METHODS: We used NIRS to test for differences in oxygenation kinetics for Type 1 diabetic patients diagnosed with (CECS-diabetics, n = 9) versus diabetic patients without (CON-diabetics, n = 10) leg anterior chronic exertional compartment syndrome. Comparisons were also made between non-diabetic CECS patients (n = 11) and healthy controls (CON, n = 10). The experimental protocol consisted of thigh arterial cuff occlusion (AO, 1-minute duration), and treadmill running to reproduce symptoms. NIRS variables generated were resting StO2%, and oxygen recovery following AO. Also, during and following treadmill running the magnitude of deoxygenation and oxygen recovery, respectively, were determined. RESULTS: There was no difference in resting StO2% between CECS-diabetics (78.2±12.6%) vs. CON-diabetics (69.1±20.8%), or between CECS (69.3±16.2) vs. CON (75.9±11.2%). However, oxygen recovery following AO was significantly slower for CECS (1.8±0.8%/sec) vs. CON (3.8±1.7%/sec) (P = 0.002); these data were not different between the diabetic groups. StO2% during exercise was lower (greater deoxygenation) for CECS-diabetics (6.3±8.6%) vs. CON-diabetics (40.4±22.0%), and for CECS (11.3±16.8%) vs. CON (34.1±21.2%) (P<0.05 for both). The rate of oxygen recovery post exercise was faster for CECS-diabetics (3.5±2.6%/sec) vs. CON-diabetics (1.4±0.8%/sec) (P = 0.04), and there was a tendency of difference for CECS (3.1±1.4%/sec) vs. CON (1.9±1.3%/sec) (P = 0.05). CONCLUSION: The greater deoxygenation during treadmill running for the CECS-diabetics group (vs. CON-diabetics) is in line with previous studies (and with the present study) that compared non-diabetic CECS patients with healthy controls. Our findings could suggest that NIRS may be useful as a diagnostic tool for assessing Type 1 diabetic patients suspected of CECS.
[Mh] Termos MeSH primário: Síndromes Compartimentais/metabolismo
Diabetes Mellitus Tipo 1/metabolismo
Músculo Esquelético/metabolismo
Oxigênio/metabolismo
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Doença Crônica
Seres Humanos
Espectroscopia de Luz Próxima ao Infravermelho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186790


  10 / 4131 MEDLINE  
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[PMID]:28958275
[Au] Autor:Benns M; Miller K; Harbrecht B; Bozeman M; Nash N
[Ti] Título:Heroin-Related Compartment Syndrome: An Increasing Problem for Acute Care Surgeons.
[So] Source:Am Surg;83(9):962-965, 2017 Sep 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Heroin use has been increasing in the United States with the rate of heroin overdose nearly quadrupling in the last 10 years. Heroin overdose can occasionally lead to compartment syndrome (CS) because of extended periods of immobility and pressure tissue injury. Heroin-related compartment syndrome (HRCS) has previously been described, but has been limited to isolated case reports. We sought to examine our experience with HRCS in the climate of rising rates of heroin use among the general population. Medical records of all patients undergoing operative decompression for a CS at our academic medical center over a six-year period (2010-2015) were examined. Patient demographics, operation performed, and etiology were recorded. Cases of HRCS were identified, and clinical outcomes examined. A total of 213 patients undergoing fasciotomy were identified. Twenty-two of these patients had HRCS. Heroin was the second most common etiology of CS after trauma. Only one case of HRCS presented during the first three years of the study period, with the remaining 95 per cent of cases occurring within the last three years. The most common single location for HRCSs was gluteal (31.8%); 36 per cent of HRCS patients needed dialysis and 27 per cent suffered complications such as tissue loss. The incidence of HRCS has increased dramatically over the past several years and is now the second most common etiology for CS in our patient population. Patients with HRCS may present with severe manifestations of CS and different body areas affected.
[Mh] Termos MeSH primário: Síndromes Compartimentais/epidemiologia
Síndromes Compartimentais/cirurgia
Cuidados Críticos
Dependência de Heroína/complicações
[Mh] Termos MeSH secundário: Adulto
Descompressão Cirúrgica
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170930
[St] Status:MEDLINE



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