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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Experimental study of forearm compartmental pressures
Antonella Ardolino1, Nedal Zeineh, David O'Connor
1Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset, United Kingdom. toni.a@doctors.org.uk
The Journal of Hand Surgery
|September 17, 2010
Summary
This study establishes normal forearm compartment pressure ranges for diagnosis of chronic compartment syndrome. Gender significantly influences these pressures, with distinct ranges for male and female subjects.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomy
Background:
- Chronic compartment syndrome (CCS) is a recognized condition, though uncommon in the forearm.
- Current diagnostic methods rely on history, clinical examination, and compartment pressure readings.
- Existing normal forearm pressure ranges are derived from lower limb measurements, necessitating forearm-specific data.
Purpose of the Study:
- To determine normal pre- and post-exercise forearm compartment pressures.
- To establish reliable reference ranges for diagnosing forearm compartment syndromes.
- To investigate potential gender-based differences in forearm compartment pressures.
Main Methods:
- Intracompartmental pressure measurements were taken in 41 healthy volunteers.
- Forearm extensor and flexor compartments were measured using a Stryker intracompartmental pressure monitor.
- Pressures were recorded before and after a standardized exercise protocol.
Main Results:
- Normal ranges were established for both extensor (2-27 mm Hg pre-exercise, 2-24 mm Hg post-exercise) and flexor (1-19 mm Hg pre-exercise, 0-19 mm Hg post-exercise) compartments.
- No significant pressure difference was observed between pre- and post-exercise measurements.
- A significant gender difference in normal forearm compartment pressures was identified.
Conclusions:
- This study provides established normal reference ranges for forearm compartment pressures.
- Significant gender-based differences in forearm compartment pressures were identified.
- These findings aid in the diagnosis of chronic and potentially acute forearm compartment syndrome.
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