Compartment syndrome in infants and toddlers
Purpose To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged
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| Veröffentlicht in: | Journal of children's orthopaedics 2016-10, Vol.10 (5), p.453-460 |
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| container_title | Journal of children's orthopaedics |
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| creator | Broom, Alexander Schur, Mathew D. Arkader, Alexandre Flynn, John Gornitzky, Alex Choi, Paul D. |
| description | Purpose
To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged |
| doi_str_mv | 10.1007/s11832-016-0766-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5033785</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1007_s11832-016-0766-0</sage_id><sourcerecordid>2584440716</sourcerecordid><originalsourceid>FETCH-LOGICAL-c509t-9ced3203816d969414caf90f6bbf893cdb8d70776024efc5bad5af35fecaf5f23</originalsourceid><addsrcrecordid>eNqNkV1LBCEUhiWKPrZ-QDex0E0XzXbU0dGbIJa-IOimrsUZdZuY0U1ng_59xm7bx0UEosJ53tdzfBE6xDDBANVZwlhQUgDmBVQ8bxtoFwtOC8JKsbm-E7yD9lJ6BuAgpdhGO6RiVMiS7qLTaejnOg699cM4vXkTQ2_Hrc_LaT-ksfZmPARjOhvTPtpyukv2YHWO0OPV5cP0pri7v76dXtwVDQM5FLKxhhKgAnMjuSxx2WgnwfG6dkLSxtTCVFBVHEhpXcNqbZh2lDmbOeYIHaHzpe98UffWNLm3qDs1j22v45sKulU_K759UrPwqhhQWgmWDU5WBjG8LGwaVN-mxnad9jYsksKCUCAyf0dGj3-hz2ERfR5PESbKsoQK80zhJdXEkFK0bt0MBvWRhVpmoXIW6iMLBVlz9H2KteLz8zNAlkDKJT-z8evpv1wnK5Ge2f8I3gG0PaKv</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2584440716</pqid></control><display><type>article</type><title>Compartment syndrome in infants and toddlers</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Springer Nature OA Free Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Broom, Alexander ; Schur, Mathew D. ; Arkader, Alexandre ; Flynn, John ; Gornitzky, Alex ; Choi, Paul D.</creator><creatorcontrib>Broom, Alexander ; Schur, Mathew D. ; Arkader, Alexandre ; Flynn, John ; Gornitzky, Alex ; Choi, Paul D.</creatorcontrib><description>Purpose
To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged <3 years.
Methods
Fifteen patients aged <3 years with acute compartment syndrome were identified from two large pediatric trauma centers over a fifteen-year period. All children underwent fasciotomy. The mechanism of injury, time of injury, time to diagnosis, compartment pressures, time to fasciotomy, and outcome at the time of the latest follow-up were recorded.
Results
Nine (60 %) of fifteen patients developed compartment syndrome secondary to trauma, four (4/15, 27 %) due to infection, and two (2/15, 13 %) due to intravenous infiltration. The average time from injury or hospital admission to fasciotomy was 31.8 h (range 2.9–136.3 h). In general, the functional outcome was excellent at the latest follow-up with thirteen (13/15, 87 %) patients having an excellent outcome. No cases of Volkmann's ischemia were noted at the time of fasciotomy, even when performed as late as 5 days after injury.
Conclusions
Compared to the general pediatric population, the diagnosis of compartment syndrome in infants and toddlers may be further delayed, i.e., >24 h after injury. Despite delays in diagnosis and time to treatment, the present study shows that outcomes in infants and toddlers remain favorable even when fasciotomy is performed 48–72 h after injury.
Level of evidence
Case series, level IV.</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1007/s11832-016-0766-0</identifier><identifier>PMID: 27538943</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Age ; Ankle ; Compartment syndrome ; Etiology ; Fractures ; Injuries ; Medicine ; Medicine & Public Health ; Original Clinical ; Original Clinical Article ; Orthopedics ; Patients ; Pediatrics ; Staphylococcus infections ; Streptococcus infections ; Surgery ; Toddlers ; Trauma ; Traumatic Surgery ; Vehicles</subject><ispartof>Journal of children's orthopaedics, 2016-10, Vol.10 (5), p.453-460</ispartof><rights>2016 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>The Author(s) 2016</rights><rights>2016. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-9ced3203816d969414caf90f6bbf893cdb8d70776024efc5bad5af35fecaf5f23</citedby><cites>FETCH-LOGICAL-c509t-9ced3203816d969414caf90f6bbf893cdb8d70776024efc5bad5af35fecaf5f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5033785/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5033785/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21965,27852,27923,27924,41119,42188,44944,45332,51575,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27538943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Broom, Alexander</creatorcontrib><creatorcontrib>Schur, Mathew D.</creatorcontrib><creatorcontrib>Arkader, Alexandre</creatorcontrib><creatorcontrib>Flynn, John</creatorcontrib><creatorcontrib>Gornitzky, Alex</creatorcontrib><creatorcontrib>Choi, Paul D.</creatorcontrib><title>Compartment syndrome in infants and toddlers</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><addtitle>J Child Orthop</addtitle><description>Purpose
To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged <3 years.
Methods
Fifteen patients aged <3 years with acute compartment syndrome were identified from two large pediatric trauma centers over a fifteen-year period. All children underwent fasciotomy. The mechanism of injury, time of injury, time to diagnosis, compartment pressures, time to fasciotomy, and outcome at the time of the latest follow-up were recorded.
Results
Nine (60 %) of fifteen patients developed compartment syndrome secondary to trauma, four (4/15, 27 %) due to infection, and two (2/15, 13 %) due to intravenous infiltration. The average time from injury or hospital admission to fasciotomy was 31.8 h (range 2.9–136.3 h). In general, the functional outcome was excellent at the latest follow-up with thirteen (13/15, 87 %) patients having an excellent outcome. No cases of Volkmann's ischemia were noted at the time of fasciotomy, even when performed as late as 5 days after injury.
Conclusions
Compared to the general pediatric population, the diagnosis of compartment syndrome in infants and toddlers may be further delayed, i.e., >24 h after injury. Despite delays in diagnosis and time to treatment, the present study shows that outcomes in infants and toddlers remain favorable even when fasciotomy is performed 48–72 h after injury.
Level of evidence
Case series, level IV.</description><subject>Age</subject><subject>Ankle</subject><subject>Compartment syndrome</subject><subject>Etiology</subject><subject>Fractures</subject><subject>Injuries</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Clinical</subject><subject>Original Clinical Article</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Staphylococcus infections</subject><subject>Streptococcus infections</subject><subject>Surgery</subject><subject>Toddlers</subject><subject>Trauma</subject><subject>Traumatic Surgery</subject><subject>Vehicles</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkV1LBCEUhiWKPrZ-QDex0E0XzXbU0dGbIJa-IOimrsUZdZuY0U1ng_59xm7bx0UEosJ53tdzfBE6xDDBANVZwlhQUgDmBVQ8bxtoFwtOC8JKsbm-E7yD9lJ6BuAgpdhGO6RiVMiS7qLTaejnOg699cM4vXkTQ2_Hrc_LaT-ksfZmPARjOhvTPtpyukv2YHWO0OPV5cP0pri7v76dXtwVDQM5FLKxhhKgAnMjuSxx2WgnwfG6dkLSxtTCVFBVHEhpXcNqbZh2lDmbOeYIHaHzpe98UffWNLm3qDs1j22v45sKulU_K759UrPwqhhQWgmWDU5WBjG8LGwaVN-mxnad9jYsksKCUCAyf0dGj3-hz2ERfR5PESbKsoQK80zhJdXEkFK0bt0MBvWRhVpmoXIW6iMLBVlz9H2KteLz8zNAlkDKJT-z8evpv1wnK5Ge2f8I3gG0PaKv</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Broom, Alexander</creator><creator>Schur, Mathew D.</creator><creator>Arkader, Alexandre</creator><creator>Flynn, John</creator><creator>Gornitzky, Alex</creator><creator>Choi, Paul D.</creator><general>SAGE Publications</general><general>Springer Berlin Heidelberg</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161001</creationdate><title>Compartment syndrome in infants and toddlers</title><author>Broom, Alexander ; Schur, Mathew D. ; Arkader, Alexandre ; Flynn, John ; Gornitzky, Alex ; Choi, Paul D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-9ced3203816d969414caf90f6bbf893cdb8d70776024efc5bad5af35fecaf5f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age</topic><topic>Ankle</topic><topic>Compartment syndrome</topic><topic>Etiology</topic><topic>Fractures</topic><topic>Injuries</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Clinical</topic><topic>Original Clinical Article</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Staphylococcus infections</topic><topic>Streptococcus infections</topic><topic>Surgery</topic><topic>Toddlers</topic><topic>Trauma</topic><topic>Traumatic Surgery</topic><topic>Vehicles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Broom, Alexander</creatorcontrib><creatorcontrib>Schur, Mathew D.</creatorcontrib><creatorcontrib>Arkader, Alexandre</creatorcontrib><creatorcontrib>Flynn, John</creatorcontrib><creatorcontrib>Gornitzky, Alex</creatorcontrib><creatorcontrib>Choi, Paul D.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Broom, Alexander</au><au>Schur, Mathew D.</au><au>Arkader, Alexandre</au><au>Flynn, John</au><au>Gornitzky, Alex</au><au>Choi, Paul D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compartment syndrome in infants and toddlers</atitle><jtitle>Journal of children's orthopaedics</jtitle><stitle>J Child Orthop</stitle><addtitle>J Child Orthop</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>10</volume><issue>5</issue><spage>453</spage><epage>460</epage><pages>453-460</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Purpose
To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged <3 years.
Methods
Fifteen patients aged <3 years with acute compartment syndrome were identified from two large pediatric trauma centers over a fifteen-year period. All children underwent fasciotomy. The mechanism of injury, time of injury, time to diagnosis, compartment pressures, time to fasciotomy, and outcome at the time of the latest follow-up were recorded.
Results
Nine (60 %) of fifteen patients developed compartment syndrome secondary to trauma, four (4/15, 27 %) due to infection, and two (2/15, 13 %) due to intravenous infiltration. The average time from injury or hospital admission to fasciotomy was 31.8 h (range 2.9–136.3 h). In general, the functional outcome was excellent at the latest follow-up with thirteen (13/15, 87 %) patients having an excellent outcome. No cases of Volkmann's ischemia were noted at the time of fasciotomy, even when performed as late as 5 days after injury.
Conclusions
Compared to the general pediatric population, the diagnosis of compartment syndrome in infants and toddlers may be further delayed, i.e., >24 h after injury. Despite delays in diagnosis and time to treatment, the present study shows that outcomes in infants and toddlers remain favorable even when fasciotomy is performed 48–72 h after injury.
Level of evidence
Case series, level IV.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27538943</pmid><doi>10.1007/s11832-016-0766-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Ankle Compartment syndrome Etiology Fractures Injuries Medicine Medicine & Public Health Original Clinical Original Clinical Article Orthopedics Patients Pediatrics Staphylococcus infections Streptococcus infections Surgery Toddlers Trauma Traumatic Surgery Vehicles |
| title | Compartment syndrome in infants and toddlers |
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