Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
Other diagnostic factors
- dor
- pressão (tensão muscular)
- parestesia
- paralisia
Risk factors
- trauma
- doença hemorrágica
- terapia de compressão
- lesão térmica
- atividade muscular intensa
- extravasamento de infusão intravenosa
- obstrução venosa
Diagnostic investigations
1st investigations to order
- medição da pressão compartimental
Investigations to consider
- creatina quinase sérica
- mioglobina urinária
- troponina
Treatment algorithm
agudo com curativo oclusivo
agudo sem curativo oclusivo
crônico
Contributors
Authors
Dr Arvind von Keudell, MD, MPH
Orthopaedic Trauma Surgeon
Associate Professor
Brigham and Women's Hospital, Harvard Medical School
Bispebjerg Hospital, University of Copenhagen
Copenhagen
Denmark
Disclosures
AK declares that he has no competing interests.
Acknowledgements
Dr Arvind von Keudell would like to gratefully acknowledge Dr Miren A. Schinco and Dr Victor J. Hassid, the previous contributors to this topic.
Disclosures
MAS and VJH declare that they have no competing interests.
Peer reviewers
Jennifer Cone, MD, MHS, FACS
Assistant Professor of Surgery, Section of Trauma and Acute Care Surgery
Associate Program Director, General Surgery Residency Program
Co-Director, Military General Surgery Residency Program
Department of Surgery
The University of Chicago Medicine and Biological Sciences
Chicago
IL
Disclosures
JC declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
American Academy of Orthopaedic Surgeons, Major Extremity Trauma and Rehabilitation Consortium. Diagnosis and management of acute compartment syndrome. Sep 2019 [internet publication].Full text
British Orthopaedic Association. Diagnosis and management of compartment syndrome of the limbs. 2015 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Trombose venosa profunda
- Fratura por estresse
- Isquemia aguda
More DifferentialsGuidelines
- Diagnosis and management of acute compartment syndrome
More GuidelinesPatient information
Queimaduras (menores)
Mais Patient information
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