Compartment Syndrome Animation - Everything You Need to Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Compartment Syndrome Animation - Everything You Need to Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes in detail the anatomy relevant to compartment syndrome. my new book about compartment syndrome https://www.amazon.com/dp/B0C51X2CWB?... Compartment Syndrome is a condition in which increased pressure in an enclosed space compromises the circulation of the tissues contained within that space. This condition can affect any compartment in the body. But, it most often involves the lower leg. Almost any injury can cause this syndrome, including injury resulting from vigorous exercise. However, the most common causes of compartment syndrome are fractures and soft tissue injuries. In this specific example, the tibia has suffered an oblique fracture from a traumatic force. Adema and hemorrhage caused fluid accumulation, elevating the compartmental pressure and occluding blood vessels and nerves. With clinical suspicion of acute compartment syndrome, inter compartmental pressure is measured. An absolute pressure of 30mmHg or higher or within 30mmHG of the diastolic blood pressure is considered diagnostic of acute compartment syndrome. Without urgent decompression, tissue ischemia, necrosis, and functional impairment will occur. Anatomy is crucial in the treatment of compartment syndrome. The four compartments of the leg include: The anterior, lateral, superficial, and the superficial and deep posterior compartments. Fasciotomy is the treatment of choice for compartment syndrome. Complete decompression of the lower leg is accomplished through a double incision for compartment fasciotomy. The first incision is placed halfway between the fibula shaft and the tibial crest. The fascia anterior and posterior to the septum is opened transversely. The anterior compartment is released first, followed by the release of the lateral compartment. Care should be taken not to injure the superficial peroneal nerve, located within the lateral compartment. The second incision is made medial to the previous incision, two centimeters posterior to the posterior tibial margin. Care should be taken not to injure the saphenous nerve and vein. The fascia anterior and posterior to the septum is open transversely. The superficial posterior compartment is released first, followed by the release of the deep posterior compartment. The double incision for compartment fasciotomy is now complete. Chronic exertional compartment syndrome is an exercise induced condition, different from acute compartment syndrome. In patients with chronic exertional compartment syndrome, the resting inter compartmental pressure is usually greater than 15mmHg. Pressure rises steeply after initiation of exercise, usually culminating in pain within 20 minutes. Burning, cramping, or aching pain and tightness develop leading to a cessation of activity. Intra compartmental pressure that remains over 30mmHg one minute after the end of exercise or pressure that remains over 20mmHg for longer than 5 minutes after the end of exercise is considered diagnostic of chronic exertional compartment syndrome. While initial treatment is conservative, a fasciotomy is the only proven successful treatment