Compartment Sydrome: A Sports Medicine Physician's Perspective

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COMPARTMENT SYNDROME A SPORTS MEDICINE PHYSICIAN’S PERSPECTIVE DAVID CARFAGNO, D.O., CAQSM SCOTTSDALE SPORTS MEDICINE

description

Compartment syndrome is a complication that patients experience following fractures (most common cause), soft tissue trauma, or reperfusion injuries, which leads to arterial obstruction and muscle swelling. This presentation was given to the physicans at Banner Health in Feburary 2014 by David Carfagno, DO, of Scottsdale Sports Medicine

Transcript of Compartment Sydrome: A Sports Medicine Physician's Perspective

  • 1. A SPORTS MEDICINE PHYSICIANS PERSPECTIVE DAVID CARFAGNO, D.O., CAQSM SCOTTSDALE SPORTS MEDICINE
  • 2. 23 year professional football player left the game in the 2nd quarter due to lower leg pain He doesnt recall a specific injury Upon inspection, Team Physician felt that there were no broken bones, muscle weakness, sprains or strains and declared his discomfort was due to cramping and had the player benched
  • 3. Following the game, player returned home Noticed an increase in pain as the night progressed Tried to sleep, but awoke with severe lower leg pain which lead him to call the Team Physician for help
  • 4. Moore was transported to the University of Colorado Hospital where he was diagnosed with lateral compartment syndrome He underwent emergency surgery to have his fascia opened to relieve increasing pressure
  • 5. Q. Fractures are the cause in less than 25% of cases of compartment syndrome. A. True B. False
  • 6. Acute Compartment Syndrome (ACS) is a complication following fractures, soft tissue trauma, and reperfusion injury after acute arterial obstruction. Common in participants of sports with high incidence of falls, fractures, contusions, etc. Difficult to diagnose without clinical testing Most often associated with fractures of long bones (e.g., tib-fib) Poor outcomes assoc. with delayed diagnosis
  • 7. ACS is defined as a compartment pressure of >30 mmHg or within 30 mmHg of diastolic pressure. J Bone Joint Surg Br 1996;78:99104.
  • 8. 1/3 of all cases involve tibial shaft fractures Young age: Patients