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Compartment syndrome
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Compartment syndrome

Compartment syndrome is increased pressure in anatomical sites (or so called compartments, where muscle and tissue bounded by fascia and bone have little space for expansion) and is caused by: fractures, crush injuries, soft tissue damages, constrictive dressings, casts or splints.

Compartment syndrome is a consequence of oxygen deprivement (anoxia), accumulation of metabolic wastes (acidosis), venous/arterial obstruction and edema, that may lead to muscle and nerve damage, pain, numbness and paralysis.

Clinical application of hyperbaric oxygen therapy (HBO) in compartment syndrome:




References:

  1. Bouachour G et al.: Hyperbaric oxygen therapy in the management of crush injuries: A randomized double - blind placebo - controlled clinical trial, The Journal of Trauma: Injury, Infection, and Critical Care; 41(2):333-339, 1996.
  2. Haapaniemi T et al.: Hyperbaric oxygen reduces ischemia-induced skeletal muscle injury. Discussion with William A. Zamboni: Plast Reconstr Surg; Vol 97:608-609, 1996.
  3. Nylander G et al.: Reduction of postischemic edema with hyperbaric oxygen Plast Reconstr Surg; Vol 76, 596-603, 1985.
  4. Schroeder HP et al.: Crush syndrome of the upper extremity; Hand Clin; 14(3):451-6, Aug 1998.
  5. Shupak A et al.: Hyperbaric oxygenation in acute peripheral post-traumatic ischemia J Hyperbaric Med; 2:7-14; 1987.
  6. Skyhar MJ et al.: Hyperbaric oxygen reduces edema and necrosis of skeletal muscle in compartment syndromes associated with hemmorhagic hypotension; J Bone Jt Surg; 68A: 1218-1224; 1986.
  7. Strauss MB et al.: Delayed use of hyperbaric oxygen in a model compartment syndrome; J Bone Jt Surg; 65A:656-662; 1986.
  8. Strauss MB et al.: Hyperbaric oxygen and skeletal-muscle compartment syndrome; Contemp Orthop; 18:167-174;1989.