Konigsberg Matthew W, Mueller John D, Lebovic Jordan A, Kadiyala R Kumar
Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY, USA.
Orthop Res Rev. 2020 Dec 31;12:203-208. doi: 10.2147/ORR.S285638. eCollection 2020.
The purpose of this study was to describe four cases of patients who developed concomitant upper extremity and gluteal compartment syndrome in the context of substance abuse. In somnolent patients unable to provide a reliable physical exam, the healthcare provider must be aware of patients presenting with concomitant upper extremity and gluteal compartment syndrome.
Retrospective chart review identified cases of the combined upper extremity and gluteal compartment syndrome following illicit drug abuse at a single academic center during the years 2009-2019.
During the 11-year period examined, a total of eight patients were diagnosed with compartment syndrome secondary to illicit drug use and prolonged immobilization. Four (50%) patients presented with combined upper extremity and gluteal compartment syndrome. All of these patients underwent prompt surgical release of the affected compartments. All eventually returned to normal activities of daily living.
Compartment syndrome is primarily a clinical diagnosis, with physical exam being extremely important. In patients presenting with somnolence secondary to illicit drug use, physical exam may not be reliable. It is critical to have a high clinical suspicion in this patient population, understanding that these patients may present with concomitant upper extremity and gluteal compartment syndrome.
Level IV, case series.
本研究的目的是描述4例在药物滥用情况下并发上肢和臀肌间室综合征的患者。对于嗜睡且无法提供可靠体格检查的患者，医疗服务提供者必须意识到存在并发上肢和臀肌间室综合征的患者。
通过回顾性病历审查，确定了2009年至2019年期间在单一学术中心发生非法药物滥用后并发上肢和臀肌间室综合征的病例。
在研究的11年期间，共有8例患者被诊断为因非法药物使用和长期固定导致的间室综合征。其中4例（50%）患者并发上肢和臀肌间室综合征。所有这些患者均接受了受影响间室的及时手术减压。所有患者最终均恢复了正常的日常生活活动。
间室综合征主要是一种临床诊断，体格检查极为重要。对于因非法药物使用继发嗜睡的患者，体格检查可能不可靠。对这类患者保持高度的临床怀疑至关重要，因为要明白这些患者可能并发上肢和臀肌间室综合征。
四级，病例系列。
