Related Experiment Video
Updated: Dec 27, 2025
A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Impending hand compartment syndrome in an infant: is clinical evaluation enough to perform a fasciotomy?
Ioannis Delniotis1,2,3, Christos Gekas4, Benedikt Leidinger1
1Department of Paediatric Orthopaedics Orthopaedic Clinic Volmarstein Wetter (Ruhr) Germany.
Insights
Early diagnosis and treatment of compartment syndrome in children are crucial. Prompt clinical judgment and fasciotomy can prevent severe complications like myonecrosis and amputation.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
Background:
- Compartment syndrome is a surgical emergency.
- Delayed diagnosis in children can result in severe, permanent damage.
Purpose of the Study:
- To emphasize the importance of early recognition and management of compartment syndrome in pediatric patients.
- To highlight the potential for poor outcomes with delayed intervention.
Main Methods:
- This is a case report.
- Clinical judgment was utilized for diagnosis and treatment decisions.
Main Results:
- The case highlights the critical need for timely intervention.
- Early fasciotomy is essential to prevent irreversible tissue damage.
Conclusions:
- Awareness of compartment syndrome in children is vital for prompt diagnosis.
- Clinical assessment alone may be sufficient to warrant surgical intervention (fasciotomy) in pediatric cases to avoid devastating consequences.
Abstract:
The purpose of this case report is to raise awareness of the early diagnosis and treatment of compartment syndrome in children. Late diagnosis can lead to irreversible outcomes, including myonecrosis, neurologic injury, functional problems, and even amputation. In this age group, clinical judgment may be enough to proceed with fasciotomy.
