Last reviewed: November 2017
Last updated: August  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • loss of muscle function

Other diagnostic factors

  • pain
  • pressure (muscle tightness)
  • paraesthesia
  • pulselessness
  • pallor
  • paralysis

Risk factors

  • trauma
  • bleeding disorder
  • compression support
  • thermal injury
  • intense muscular activity
  • extravasation of intravenous infusion
  • venous obstruction

Diagnostic investigations

1st investigations to order

  • compartment pressure measurement
Full details

Investigations to consider

  • serum creatine kinase
  • urine myoglobin
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Critical Care Surgeon

WakeMed Hospital

Rayleigh

NC

Disclosures

MAS declares that she has no competing interests.

Assistant Professor

Department of Plastic Surgery

The University of Texas MD Anderson Cancer Center

Houston

TX

Disclosures

VJH declares that he has no competing interests.

Peer reviewers VIEW ALL

Emeritus Professor of Orthopaedic and Accident Surgery

University of Liverpool

Liverpool

Associate Editor

British Journal of Bone and Joint Surgery

London

UK

Disclosures

LK declares that he has no competing interests.

Associate Program Director

Atlanta Medical Center

Department of General Surgery

Atlanta

GA

Disclosures

Not disclosed.

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