Elmhiregh Aissam, Feghih Adel El, Faraj Khaled
Orthopedic department - Hamad general hospital, Doha, Qatar.
Orthopedic department - Hamad general hospital, Doha, Qatar.
Int J Surg Case Rep. 2017;33:151-157. doi: 10.1016/j.ijscr.2017.02.038. Epub 2017 Feb 27.
Compartment syndrome is one of the most serious orthopedic emergencies [4]. It is usually anticipated and looked at in every single orthopedic case. Early recognition and management of those cases are quite important in order to avoid the devastating consequences of such condition.
This is a case report of a 5 years old child with concomitant unilateral leg and foot compartment syndrome after a roll over trauma. The patient was presented with significant leg and foot swelling, severe pain and absent distal pulses. He was rushed to operative theatre where compartments decompression and fracture fixation were performed. Vac dressing and secondary closure followed the primary treatment. Post-operatively, the patient improved in a good way with no heeling complications or functional deficits.
Compartment syndrome in children is a serious complication that can occur after trauma, high index of suspicion is crucial to start early management and to avoid complications. This injury can occur in un-fractured limb and in more than one site at the same time.
骨筋膜室综合征是最严重的骨科急症之一[4]。在每一例骨科病例中通常都会对其进行预期和关注。为避免该病症带来的灾难性后果，对这些病例的早期识别和处理非常重要。
本文是一例5岁儿童在翻滚外伤后并发单侧小腿和足部骨筋膜室综合征的病例报告。患者出现小腿和足部明显肿胀、剧痛且足背动脉搏动消失。他被紧急送往手术室，在那里进行了骨筋膜室减压和骨折固定手术。初次治疗后采用负压封闭引流敷料并进行二期缝合。术后，患者恢复良好，未出现愈合并发症或功能缺陷。
儿童骨筋膜室综合征是创伤后可能发生的严重并发症，高度怀疑指数对于尽早开始治疗并避免并发症至关重要。这种损伤可发生在未骨折的肢体上，且可同时发生在多个部位。
