Analytical review of methods for diagnosing compartment syndrome in patients with phlegmon of the upper limb
Yu. V. Krasenkov,
V. K. Tatyanchenko,
M. N. Tkachev,
V. L. Bogdanov,
A. S. Pavlitskaya,
Y. A. Davydenko https://doi.org/10.17238/2072-3180-2024-4-205-211
Abstract
Introduction. Diagnostics and treatment of acute tissue hypertension syndrome (compartment syndrome) is one of the urgent problems of surgery.
Objective. To study the main available methods of tissue pressure control in patients with intermuscular phlegmon of the upper limb.
Materials and methods of research. The study included: analysis of available literature on the electronic resources CyberLeninka, Elaibrary, Google Academy. Analysis of the original material on the diagnosis of tissue hypertension in 134 patients with deep intermuscular phlegmon of the upper limb.
Treatment results. The clinical diagnosis of compartment syndrome is not always obvious. Usually, the patient may have a diffuse purulent process and it can be difficult to determine which localization causes pain. Today, there are two main types of determining the increase in pressure inside the fascial cases, these are hardware technologies and subjective signs. Both directions have an equal number of followers. In medical centers in America, the "five Pi" rule has become especially popular for diagnosing compartment syndrome. In Europe, Africa, Asia, surgeons prefer catheter systems operating on the Whitesides principle.
Conclusion. Hardware measurement of tissue pressure is the only adequate method for diagnosing tissue hypertension, has 100 % sensitivity, is accessible to medical institutions with different levels of funding, and should be recommended for widespread implementation in practice.
About the Authors
Yu. V. Krasenkov
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Krasenkov Yury Viktorovich – Candidate of Medical Sciences, Associate Professor of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy,
344010, trans. Nakhichevansky, 29, Rostov-on-Don
V. K. Tatyanchenko
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Tatyanchenko Vladimir Konstantinovich – Doctor of Medical Sciences, Professor, Honored Inventor of the Russian Federation, Honored Doctor of the Russian Federation, Head of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy,
344010, trans. Nakhichevansky, 29, Rostovon-Don
M. N. Tkachev
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Tkachev Maxim Nikolaevich – Candidate of Medical Sciences, Assistant Professor, Department of Operative Surgery, Clinical Anatomy, and Pathological Anatomy,
344010, Nakhichevansky Lane, 29, Rostov-on-Don
V. L. Bogdanov
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Bogdanov Valery Leonidovich – Candidate of Medical Sciences, Associate Professor, Associate Professor, Department of Operative Surgery, Clinical Anatomy, and Pathological Anatomy,
344010, Nakhichevansky Lane, 29, Rostov-on-Don
A. S. Pavlitskaya
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Pavlitskaya Anastasia Sergeevna – student, laboratory assistant of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy,
344010, lane Nakhichevansky, 29, Rostov-on-Don
Y. A. Davydenko
Rostov State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Davydenko Yana Andreevna – student, laboratory assistant of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy,
344010, lane Nakhichevanskiy, 29, Rostov-on-Don
References
1. Rubinstein A. J., Ahmed I. H., Vosbikian M. M. Hand compartment syndrome. Hand clinics, 2018, № 1 (34), pp. 41–52.
2. Beddard L., Roslee C. Acute compartment syndrome. Surgery (Oxford), 2023, № 41(4), pp. 223–226.
3. O’Neill D.C., Steffenson L.N., Myhre L.A., Kantor A.H., Meeks H.D., Fraser A.M., & Haller J.M. Analysis of acute extremity compartment syndrome using a genealogic population database. Archives of Orthopaedic and Trauma Surgery, 2024, № 144(1), pp. 149–160.
4. Sharma N., Sharma N. M., Sharma A., & Mirza S. Comparison and convergence of compartment syndrome techniques: A narrative review. Expert Review of Medical Devices, 2023, № 20(4), pp. 283–291.
5. Miciak M., Jurkiewicz K. Compartment syndrome-a complex and insidious medical problem. Journal of Pre-Clinical & Clinical Research, 2023, № 17(2), pp. 95–100.
6. Zhong H., Zhao G., Guo P. A case of rhabdomyolysis with compartment syndrome in the right upper extremity. World Journal of Emergency Medicine, 2020, № 11(3), pp. 185–189.
7. Bowyer M. W. Compartment Syndrome of the Extremities //Penetrating Trauma: A Practical Guide on Operative Technique and PeriOperative Management. Cham: Springer International Publishing, 2024, pp. 551–560.
8. Williams D. W. et al. Characteristics and outcomes of patients who undergo fasciotomies for upper arm compartment syndrome. European Journal of Orthopaedic Surgery & Traumatology, 2023, Т. 33, № 6, рр. 2291 2296.
9. Beddard L., Roslee C. Acute compartment syndrome. Surgery (Oxford), 2023, № 41(4), pp. 223–226.
10. Byakova E. N., Krasenkov Yu. V., Tatyanchenko V. K., Sukhaya Yu. V., Edilov A. V. Method for diagnosing intermuscular phlegmon of the limb. Patent for invention 2019. № 2699964. (In Russ.)
11. Krasenkov, Yu. V., Tatyanchenko, V. K., Davydenko, A. V., Tkachev, A. V., Terekhov, M. Yu. Method for treating acute tissue hypertension syndrome with combined intermuscular phlegmon of the upper limb. Patent for invention 2021. № 2755169. (In Russ.)
12. Chung J, Modrall J. Compartment syndrome. In: Rutherford’s Vascular Surgery. 8th ed. Minneapolis, MN: Clinical Tree, 2016, pp. 2544–2554.
13. Yetter W. N., Graves B. R. Compartment Syndrome in the Upper Limb. The Art of the Musculoskeletal Physical Exam. Cham: Springer International Publishing, 2023, рр. 179–187.
14. Moon C. Compartment Syndrome. Orthopedic Trauma Call for the Attending Surgeon. CRC Press, 2024, pp. 49–52.
15. Cugola L., Fasolo G. Clinical and demographic profile Volkmann’s ischemic contracture presenting in Tigray (Ethiopia). Acta Biomed, 2022, № 92(S3), рр. e2021562.
16. Jakob D. A., Benjamin E. R., Demetriades D. Extremity Compartment Syndrome. Textbook of Emergency General Surgery: Traumatic and Non-traumatic Surgical Emergencies. Cham: Springer International Publishing, 2023, pp. 1663–1678.
17. Griffiths D.L. Volkmann’s ischemic contracture. BJS Br J Surg., 1940, № 28, рр. 239–260.
18. Mazur M., Jabaly N., Ebraheim N. Acute compartment syndrome in patients on long-term anticoagulation therapy. J Trauma Crit Care, 2018, № 3 (1), рр. 1–5.
19. Edilov, A. V., Tatyanchenko, V. K., Bogdanov, V. L., Sukhaya, Yu. V. Intensification of complex treatment of patients with foot phlegmon. Ulyanovsk Medical and Biological Journal, 2019, № 3, рр. 28–33. (In Russ.)
20. Byakova E. N., Tatyanchenko V. K., Bogdanov V. L. New technologies for the treatment of deep intermuscular phlegmon of the gluteal region and compartment syndrome (acute tissue hypertension syndrome). Medical and pharmaceutical journal «Pulse», 2019, V. 21, № 9, рр. 61–66. (In Russ.)
21. Long B., Koyfman A., Gottlieb M. Evaluation and management of acute compartment syndrome in the emergency department. The Journal of emergency medicine, 2019. 56(4), pp. 386–397.
22. Aslanabadi A., Zare Z., Aslanabadi M. The first description of acute compartment syndrome, by Al-Zahrawi. JBJS, 2023. № 105 (1). C. e1.
23. Ogunlusi J. D., Oginni L. M., Ikem I. C. Normal leg compartment pressures in adult Nigerians using the Whitesides method. The Iowa Orthopaedic Journal, 2005, № 25, pp. 200.
24. Chaudhary P. et al. Measurement of compartmental pressure in a leg by Whitesides method in a Nepalese patients attending a tertiary care hospital in eastern region of Nepal. Health Renaissance, 2015, № 13(1), pp. 95–100.
25. Duckworth A. D., McQueen M. M. The diagnosis of acute compartment syndrome: a critical analysis review. JBJS reviews, 2017, № 5(12), рр. e1.
26. Schmidt A. H. Acute compartment syndrome. Orthopedic Clinics, 2016, № 47(3), pp. 517–525.
27. Vogels S., Ritchie E.D., Bakker E.W.P. et al. Measuring intracompartmental pressures for the chronic exertional compartment syndrome: challenging commercially available devices and their respective accuracy. J Biomech., 2022, № 135, рр. 111026.
28. Lorange J. P., Laverdiere C., Corban J., Montreuil J., & Harvey E.J. Diagnosis accuracy for compartment syndrome: a systematic review and meta-analysis. Journal of Orthopaedic Trauma, 2023, № 37(8), рр. e319-e325.
29. Mühlbacher J. et al. Feasibility of ultrasound measurement in a human model of acute compartment syndrome. World Journal of Emergency Surgery, 2019, № 14, pp. 1–7.
30. Tepordei R.T. et al. An Innovative Non-Invasive Method for Early Detection and Monitoring of Acute Compartment Syndrome. Journal of Personalized Medicine, 2024, № 14(5), p. 477.
Review
For citations:
Krasenkov Yu.V., Tatyanchenko V.K., Tkachev M.N., Bogdanov V.L., Pavlitskaya A.S., Davydenko Y.A. Analytical review of methods for diagnosing compartment syndrome in patients with phlegmon of the upper limb. Moscow Surgical Journal. 2024;(4):205-211. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-205-211
Views:
148
Email this article 