SINDROME COMPARTIMENTAL ASPECTOS DIAGNOSTICOS Y DE TRATAMIENTO
Sindrome compartimental expo 1
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Transcript of Sindrome compartimental expo 1
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Hecho por:Sánchez Carina
Solórzano DaniloSuarez Gabriela
UNIVERSIDAD NACIONAL DE CHIMBORAZOFACULTAD DE CIENCIAS DE LA SALUD
CARRERA DE MEDICINATRAUMATOLOGIA
SÍNDROME
COMPARTIMEN
TAL
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Posee 2 compartimentos. El compartimiento anterior se descomprime,
mediante una incisión anterointerna y el posterior mediante una incisión longitudinal posterior.
FASCIOTOMIA DEL BRAZO
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Si a pesar de esta descompresión el compartimento dorsal se encuentra
tenso ,incisión dorsal que se inicia en un punto distal al epicóndilo lateral y continúa hasta la
parte distal del antebrazo.
Continúa hacia abajo sobre el lado cubital del antebrazo y a través del pliegue de la muñeca,
nuevamente en forma oblicua, después de que se incide la aponeurosis muscular, se abre el
retináculo flexor, situado sobre el túnel del carpo, para descomprimir el nervio mediano.
Incisión en un punto proximal al epicóndilo medial del húmero y se extiende
oblicuamente a través del pliegue antecubital.
FASCIOTOMÍA DEL ANTEBRAZO:
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Los compartimientos interoseos pueden liberarse mediante 2 insiciones dorsales sobre los ejes longitudinales del 2º y 4º metacarpianos.
Los compartimientos palmares precisan de 2 incisiones sobre las eminencias tenar e hipotenar para su liberación.
FASCIOTOMÍA DE LA MANO
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Para liberar compartimento interno se incide en la cara medial y se corta la fascia a todo
lo largo, se libera el compartimento del aductor.
Con tijeras de Metzenbaum se corta el tabique intermuscular externo a lo largo de
la incisión, los compartimentos anterior y posterior son liberados.
El vasto externo es separado
Se expone la bandeleta iliotibial, luego se hace una incisión recta siguiendo la línea de la herida cutánea atravesando la bandeleta
iliotibial.
Se traza una incisión externa, debajo de la línea intertrocantérea que llega hasta el
epicóndilo externo.
FASCIOTOMÍA DE MUSLO
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Con tijeras de Metzenbaum se libera el compartimento anterior en forma proximal y distal, siguiendo la línea tibial anterior, luego se efectúa la fasciotomía del compartimento externo, hacia arriba y hacia abajo, siguiendo la dirección de la
diáfisis del peroné.
Se traza una incisión transversa que expone el tabique intermuscular externo para identificar el nervio
peroneo superficial .
Incisión de 20 a 25 cm sobre el compartimento anterior, con disección
subcutánea se exponen en forma amplia los compartimentos fasciales.
La fasciotomía con incisión doble
FASCIOTOMÍA DE LA PIERNA
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Incisión sobre el flexor largo de los dedos que libera todo el
compartimento muscular profundo posterior.
Se traza incisión transversal hasta reconocer el tabique entre los
compartimentos superficial y profundo, se libera, la fascia que cubre el
complejo de los gemelos y del sóleo.
Segunda incisión a 2 cm por detrás del borde posterior de la tibia, con
disección se identifican los planos fasciales, se separan la vena y nervio
safeno hacia delante
FASCIOTOMÍA DE LA PIERNA
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Infección.
Lesión nerviosa
complicaciones menores: alteración de la sensibilidad, prurito, edema, ulceración
recurrente, herniación muscular.
SCA - Complicaciones
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