Tissue pressure measurements as a determinant for the need of fasciotomy

Clin Orthop Relat Res. Nov-Dec 1975;(113):43-51. doi: 10.1097/00003086-197511000-00007.

Abstract

An experimental and clinical tehcnique of measuring tissue pressures within closed compartments demonstrates a normal tissue pressure is approximately zero mmHg, and increased markedly in compartmental syndromes. There is inadequate perfusion and relative ischemia when the tissue pressure within a closed compartment rises to within 10-30 mm Hg of the patient's diastolic blood pressure. Fasciotomy is usually indicated, therefore, when the tissue pressure rises to 40-45 mm Hg in a patient with a diastolic blood pressure of 70 mm Hg and any of the signs or symptoms of a compartmental syndrome. There is no effective tissue perfusion within a closed compartment when the tissue pressure equals or exceeds the patient's diastolic blood pressure. A fasciotomy is definitely indicated in this circumstance, although distal pulses may be present. The measurement of tissue pressure aids in the early diagnosis and appropriate treatment of compartmental syndromes.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anterior Compartment Syndrome / physiopathology
  • Anterior Compartment Syndrome / surgery
  • Child
  • Child, Preschool
  • Fascia / physiopathology
  • Fasciotomy*
  • Female
  • Humans
  • Ischemia / diagnosis*
  • Ischemia / surgery
  • Male
  • Middle Aged
  • Muscular Diseases / diagnosis*
  • Muscular Diseases / surgery
  • Pressure