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Trauma
intermediate
X-Type

Acute Compartment Syndrome

Soft Tissue Emergencies

A 22-year-old man is admitted following a motorcycle accident with a closed tibial shaft fracture. Six hours post-injury, he develops severe leg pain out of proportion to the injury despite adequate analgesia. Passive extension of his toes causes severe pain in the calf. The leg is tense and swollen. Pulses are palpable. Regarding acute compartment syndrome:

Mark each as TRUE or FALSE

A

Acute compartment syndrome occurs when pressure within a closed fascial compartment compromises tiss...

B

The "6 Ps" include Pain (out of proportion and with passive stretch), Pressure (tense compartment), ...

C

Absent pulses are required to diagnose compartment syndrome; pressure measurements are never helpful...

D

Intracompartmental pressure measurement is useful when clinical assessment is difficult (intubated p...

E

The leg has four compartments (anterior, lateral, superficial posterior, deep posterior) and fasciot...

Answer the questions to see explanations

Click T (True) or F (False) for each option