1/7. thigh compartment syndrome in a football athlete: a case report and review of the literature.Although contusions of the thigh are common in all sports, a compartment syndrome from closed blunt trauma without a femur fracture is rare. thigh compartment syndrome is unusual due to increased compliance of the thigh to accommodate increased expansion from hematoma or third space fluid. Compartment syndrome of the thigh is characterized by unrelenting pain, swelling, and limited knee range of motion. A single case of a thigh compartment syndrome caused by a direct blow to the anterior aspect of the thigh from a football helmet during kickoff occurred. Immediate thigh fasciotomy was performed. early diagnosis with appropriate emergency treatment can avoid serious and permanent complications.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/7. Ischaemic contracture in an infant's forearm--a case report.We present a case of a gradually developing ischaemic contracture of the forearm muscles of an infant who developed without any trauma or acute gangrene at birth. Release of the middle and ring finger digitorum profundus muscles and pronator quadratus at 2 years of age corrected the deformity. Histopathology showed no evidence of fibromatosis or any other tumor. Although a dynamic splint was used to maintain the range of motion, the range of the middle finger motion deteriorated gradually 2 years after surgery. Though the pathogenesis of this problem was unclear, we assume that it was caused by fibrosis of muscles as a result of bleeding before or during delivery.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
3/7. Transfer of innervated split latissimus dorsi free musculocutaneous flap for flexion and extension of the fingers.A severe form of Volkmann contracture is associated with loss of flexor and extensor compartment muscles. An 11-year-old boy with Volkmann contracture was admitted to our clinics with flexion contracture of the wrist joint and total loss of flexor and extensor muscle functions. Split latissimus dorsi free flap was used for reconstruction. The muscle was split based on the branching of thoracodorsal nerve and artery within the muscle so that each part of the muscle is nourished and innervated by a branch of thoracodorsal nerve and artery. No complication has occurred, and the patient can now grasp objects, although he cannot achieve full range of motion of the fingers. We performed a single muscle transfer for reconstruction of both the extensor and flexor compartments in severe form of Volkmann contracture and omitted the use of a second muscle transfer, thus greatly decreasing the operative time, cost, and morbidity.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/7. Interposition of extensor digitorum tendon in distal radius fracture mimicking a compartment syndrome.A 14-year-old boy sustained a dorsally displaced Salter-Harris Type II fracture of the distal radius. A single attempt at closed reduction failed. After this closed reduction, the patient was unable to passively or actively extend or flex his fingers. He had increasing pain and compartment pressures were abnormally elevated. Dorsal fasciotomy was done, and during the open reduction, entrapment of the dorsal extensor retinaculum and extensor digitorium communis within the fracture was found. After removal of these structures, fracture reduction was easily accomplished and his fingers had a full range of motion. Postoperative recovery was uneventful.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
5/7. anterior compartment syndrome in a patient with fracture of the tibial plateau treated by continuous passive motion and anticoagulants. Report of a case.Open reduction and internal fixation with anterior compartment fasciotomy for fractures of both tibial plateaus in a 36-year-old woman was complicated by deep-vein thrombosis three days after surgery. After establishing anticoagulation, continuous passive motion (CPM) was instituted. Twenty-four hours after the commencement of CPM, an anterior compartment syndrome developed. A second operation revealed a large hematoma within the anterior compartment musculature, the development of which appeared to be the result of the combination of continuous passive motion and anticoagulation therapy in a seriously injured limb. In this clinical condition, especially close observation for the development of signs of elevated intracompartmental pressure is mandatory.- - - - - - - - - - ranking = 6keywords = motion (Clic here for more details about this article) |
6/7. cysticercosis of the flexor digitorum profundus muscle producing flexion deformity of the fingers.Selective flexion deformity of the middle and ring fingers resembling a mild type of Volkmann's contracture resulted from cysticercus cellulosa infection within the deep flexor muscle of the forearm in a middle-aged woman. Excision of the fibrotic segment of the muscle and tenodesis of all the flexor profundus tendons restored normal range of motion to these fingers. Vascular compromise in addition to the inflammatory response to the infection were considered causes for the deformity. There is no previous report of this kind in the literature.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/7. lower extremity compartment syndrome resulting from a toddler's bed.This report recounts an unusual case of compartment syndrome of the leg and foot resulting from hanging on the side of a toddler's bed in a 11/2-year-old boy. parents apparently found the patient on the side of the bed in the morning. Presentation to hospital revealed obvious tense compartments of the leg and foot. Intraoperative pressures were >100 mm Hg. Complete fasciotomies with secondary closure and skin grafting were performed. An ankle-foot orthrosis was used to prevent progression of ankle equinus. Jobst pressure garments were used to prevent hypertrophic scarring. One-year follow-up showed normal gait, function, and joint range of motion. Social services were consulted and the US consumer product safety Commission was notified. As pediatric physicians, we need to be aware of possible and potential hazards in the child's environment. This case represents a unique case of compartment syndrome related to persistent limb elevation and compression.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |