Adeyeye A I, Esan O, Ikem I C
Department of Orthopaedic Surgery, Ondo State Trauma and Surgical Center, Ondo, Nigeria.
Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Teaching Hospitals Complex, Ile Ife, Osun State, Nigeria.
Eur J Trauma Emerg Surg. 2018 Apr;44(2):231-234. doi: 10.1007/s00068-017-0774-x. Epub 2017 Mar 9.
The forearm is prone to raised compartment pressure and it is the second most common site for compartment syndrome. The normal compartment pressure of the forearm should be known and serve as a benchmark for the diagnosis of acute and chronic compartment syndrome. This study was aimed to determine the normal compartment pressures of the forearm using a digital compartment pressure monitor.
This was a prospective hospital-based study of the uninjured forearm in 30 patients, who presented with closed unilateral forearm fracture at the accident and emergency department of a tertiary health care facility, between June 2012 and December 2013. Approval was sought and obtained from institutions ethical committee. An 18 gauge bevelled-tip needle, attached to a Compass TM digital compartment pressure monitor made by Mirador USA, was used to measure the pressures in the compartments of the forearm. Data obtained were analysed using the Stata 12. Significance was determined at p < 0.05.
The mean age was 38.3 ± 18.3 years with male-to-female ratio of 2.3:1. The pressures in the volar compartment of the forearm ranged from 1 to 8 mmHg with a mean ± SD compartment pressure of 4.7 ± 1.5 mmHg. In the dorsal compartment the pressure ranged from 2 to 8 mmHg with a mean ± SD of 4.9 ± 1.7 mmHg SD, while the lateral compartment measurement ranged between 1 and 5 mmHg with a mean ± SD of 3.6 ± 1.1 mmHg. There was significant positive correlation (p < 0.01) between the compartment pressures in the volar, dorsal, and lateral compartments.
The normal compartment pressure for forearm is 4.4 ± 1.6 mmHg and ranged from 1 to 8 mmHg from this study in our environment. This will serve as reference value when forearm compartment pressure is being measured.
前臂容易出现骨筋膜室压力升高，是骨筋膜室综合征的第二常见部位。应了解前臂的正常骨筋膜室压力，并将其作为诊断急慢性骨筋膜室综合征的基准。本研究旨在使用数字骨筋膜室压力监测仪确定前臂的正常骨筋膜室压力。
这是一项基于医院的前瞻性研究，研究对象为30例未受伤的前臂，这些患者于2012年6月至2013年12月在一家三级医疗机构的急诊科因闭合性单侧前臂骨折就诊。已获得机构伦理委员会的批准。使用一根连接到美国米拉多尔公司生产的Compass TM数字骨筋膜室压力监测仪的18号斜面尖端针来测量前臂各骨筋膜室的压力。使用Stata 12对获得的数据进行分析。显著性水平设定为p < 0.05。
平均年龄为38.3 ± 18.3岁，男女比例为2.3:1。前臂掌侧骨筋膜室的压力范围为1至8 mmHg，平均 ± 标准差骨筋膜室压力为4.7 ± 1.5 mmHg。背侧骨筋膜室的压力范围为2至8 mmHg，平均 ± 标准差为4.9 ± 1.7 mmHg，而外侧骨筋膜室的测量值范围为1至5 mmHg，平均 ± 标准差为3.6 ± 1.1 mmHg。掌侧、背侧和外侧骨筋膜室的压力之间存在显著正相关（p < 0.01）。
在我们所处环境中，本研究得出前臂的正常骨筋膜室压力为4.4 ± 1.6 mmHg，范围为1至8 mmHg。这将作为测量前臂骨筋膜室压力时的参考值。
