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[Compartmental syndrome of the lower limb--basic evaluation].

S Kikuchi, M Hasue, T Ito

    Nihon Seikeigeka Gakkai Zasshi
    |December 1, 1983
    PubMed
    Summary

    Structural factors in the lower limb contribute to anterior compartment syndrome. Regenerating muscle fibers suggest functional recovery is possible, while nerve damage varies by compartment.

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    Area of Science:

    • Orthopedics
    • Anatomy
    • Physiology

    Context:

    • Compartment syndrome is a serious condition affecting the lower limb.
    • Understanding its structural basis is crucial for diagnosis and treatment.
    • Previous studies have not fully elucidated the biomechanical and pathological factors involved.

    Purpose:

    • To investigate the structural and biomechanical factors contributing to lower limb compartment syndrome.
    • To analyze pathological changes in ischemic muscles and nerves.
    • To measure intracompartmental pressure in normal individuals.

    Summary:

    • Biomechanical studies on cadavers and pathological analysis of amputated limbs revealed structural peculiarities of the anterior compartment, likely causing increased pressure and frequent anterior compartment syndrome.
    • Histochemical analysis of ischemic rat muscles showed regenerating muscle fibers beneath the fascia, indicating potential for functional recovery.
    • Nerve ischemia was more pronounced in peroneal nerves than tibial nerves, suggesting anatomical rather than circulatory causes.

    Impact:

    • Provides insights into the high incidence of anterior compartment syndrome.
    • Suggests potential for muscle function recovery after ischemia.
    • Highlights anatomical influences on nerve damage severity in compartment syndrome.

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