Unrecognised compartment syndrome in a patient with tourniquet palsy

The Bone & Joint Journal (Impact Factor: 3.31). 02/1987; 69(1):97-9. DOI: 10.1097/00006534-198808000-00083
Source: PubMed


We report a case in which compartment syndrome and tourniquet paralysis occurred simultaneously. This is a previously unreported combination which presents a diagnostic problem. We recommend that electrophysiological studies and continuous monitoring of compartment pressures should be used to minimise morbidity in high-risk cases.

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    • "The history of the use of a tourniquet device includes devastating complications. Since the introduction of the pneumatic tourniquet, which was intended to alleviate potential complications, there have been reports of major complications such as compartment syndrome, which resulted in limitation of limb movement, limb paralysis, and even massive rigor [12-14]. Several reports have shown the disastrous effects of a low profile tourniquet, such as rubber tubes, causing prolonged finger ischemia and catastrophic toe necrosis [15-19]. "
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