![]() ![]() Measurement of elevated tissue pressure within the muscle compartment is currently the most common objective means of. These muscles are divided into two compartments, based on both anatomical and functional differences. A routine approach to the different compartments of the forearm may differ from the approaches for the fixation of the shaft fractures. 9 Waiting for the development of all the clinical signs and symptoms is an invitation for permanent and dangerous sequelae, including muscle necrosis and possible loss of a limb. The muscles in the forearm control the fine and intricate movements of the fingers as well as the gross and forceful movements of the hand and wrist. Forearm shaft fractures have been reported in 34 of a recent series of patients with compartment syndrome of the forearm Duckworth. 7, 8 Other signs and symptoms associated with a compartment syndrome occur late in the course and include paresthesias of the involved nerve, paralysis of the involved muscle group, pallor of the skin, and diminished pulses. A catastrophic mistake is to attribute the etiology of the patient's pain solely to the underlying problem, such as the fracture or trauma. The pain typically increases with passive motion. The hallmark symptom is persistent and progressive pain that is disproportionate to the underlying cause. 34 Thus, manual palpation cannot be used to rule in or rule out a compartment syndrome. 34 Manual palpation has a positive predictive value of 19% and a negative predictive value of 63%. The sensitivity and specificity of manual palpation to identify a compartment syndrome is 24% and 55%, respectively. Identifying a compartment syndrome in a timely fashion can be challenging. ![]()
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