Compartment pressures in children with normal and fractured lower extremities

Purpose Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. Methods...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2019-06, Vol.45 (3), p.493-497
Main Authors: Bussell, Hannah Rachel, Aufdenblatten, Christoph Alexander, Subotic, Ulrike, Kalisch, Markus, Staubli, Georg, Weber, Daniel Max, Tharakan, Sasha Sasha
Format: Article
Language:English
Subjects:
Adolescent
Blood pressure
Case-Control Studies
Child
Child, Preschool
Compartment syndrome
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Critical Care Medicine
Emergency medical care
Emergency Medicine
Female
Fractures
Fractures, Bone - complications
Fractures, Bone - surgery
Humans
Intensive
Legs
Lower Extremity - injuries
Male
Manometry
Medicine
Medicine & Public Health
Original Article
Orthopedics
Pain
Pediatrics
Pressure
Reference Values
Sports Medicine
Surgery
Surgical Orthopedics
Trauma
Traumatic Surgery
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Summary:Purpose Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. Methods This prospective study included children up to the age of 16 years with lower extremity fractures that needed reduction. Between June 2009 and August 2015, 20 children were included. We used needle manometry to measure the pressures in the superficial (SPC), deep posterior (DPC) and in the anterior compartments (AC) on both the lower legs. Results On the healthy leg, the mean compartment pressure was 15.15 mmHg in the AC (range 7–30 mmHg), 14.32 mmHg in the SPC (range 8–24 mmHg) and 13.00 mmHg in the DPC (range 4–21 mmHg). On the injured leg, the mean compartment pressure was 24.07 mmHg in the AC (range 5–40 mmHg), 17.21 mmHg in the SPC (range 7–29 mmHg) and 17.13 mmHg in the DPC (range 6–37 mmHg). We found a perfusion gradient (diastolic blood pressure—compartment pressure) 
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-019-01082-9