DEFINITIONS AND TERMINOLOGY OF COMPARTMENT SYNDROME AND VOLKMANN’S ISCHEMIC CONTRACTURE OF THE UPPER EXTREMITY
1998; Elsevier BV; Volume: 14; Issue: 3 Linguagem: Inglês
10.1016/s0749-0712(21)00392-9
ISSN1558-1969
AutoresHerbert P. von Schroeder, Michael J. Botte,
Tópico(s)Body Contouring and Surgery
ResumoIncreased tissue pressure within the confines of a nondistensible anatomic compartment increases venous pressure, causes vascular compression, decreases the arteriovenous gradient, and results in a compartment syndrome. The decreased blood flow and hypoxia result in cellular damage of muscles, nerves, and vascular endothelium. Richard von Volkmann's legacy has taught us that a patient's overall status must be monitored to follow the systemic determinants of peripheral blood flow and oxygen transport. Limbs must also be monitored with vigilance. A high index of suspicion must always be present, and compartment pressures can be measured directly to aid in clinical decision making regarding the status of a compartment. The remaining articles in this issue describe and explore von Volkmann's syndrome using the terms and concepts introduced here.
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