ArticleInternational orthopaedics2019
Acute compartment syndrome in patients undergoing fasciotomy of the forearm and the leg.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Post-fasciotomy complications in lower extremity acute compartment syndrome: a systematic review and proportional meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Forearm Compartment Syndrome Following a Thermal-Crush Injury Treated With a Dorsal Ulnar Artery Flap: A Case Report.Cureus · 2026Article
- An updated meta analysis on traumatic causes of thigh compartment syndrome.Journal of clinical orthopaedics and trauma · 2024Article
- Treatment of bilateral Posterior Tibial Compartment Syndrome using a Novel Surgical Approach: A Case Report of the Posterior Approach.Orthopedic reviews · 2024Article
- Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Surgical Demographics of Acute Hand Compartment Syndrome.Hand (New York, N.Y.) · 2023Review
- Characteristics and outcomes of patients who undergo fasciotomies for upper arm compartment syndrome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Transulnar coronary intervention complicated by compartment syndrome.BMJ case reports · 2021Article
- Increased morphine requirements are predictive of acute compartment syndrome in adults with tibia fractures.International orthopaedics · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesThe primary objective of this study is to compare the likelihood of acute compartment syndrome in the leg versus the forearm in patients who undergo fasciotomy for a clinical diagnosis of suspected acute compartment syndrome. The secondary objective is to identify factors associated with higher likelihood of acute compartment syndrome or with the use of split-thickness skin graft in these patients.
methodsWe identified 449 patients diagnosed with suspected acute compartment syndrome of 468 legs and 119 patients diagnosed with suspected acute compartment syndrome of 119 forearms, treated with fasciotomy, from January 2000 to June 2015. Patients clinically diagnosed with suspected acute compartment syndrome were scored for likelihood of acute compartment syndrome based on muscle appearance, time to closure, neurologic deficit at final follow-up, and contracture at final follow-up.
resultsThere was no difference in likelihood of acute compartment syndrome between the leg and the forearm, with about 70% having relatively high likelihood. Forearm fasciotomy was associated with documentation of poorer muscle appearance (p = 0.01) and contracture (p < 0.001) compared with leg fasciotomy. Multivariable logistic regression analyses showed that compartment pressure measurement (p = 0.01) was associated with higher likelihood of acute compartment syndrome in legs and that male sex (p = 0.001) and non-vascular mechanism of injury (p = 0.02) were associated with split-thickness skin graft in legs.
conclusionsThe likelihood and severity of acute compartment syndrome are comparable in the leg and the forearm.
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