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Lower extremity compartment syndrome resulting from a toddler's bed
1Pediatric Orthopaedics, Altru Clinic, Grand Forks, ND 58206-6003, USA.
Pediatrics
|December 2, 1998
Summary
A toddler developed severe leg and foot compartment syndrome after hanging from a bed. Prompt fasciotomies and supportive care led to a full recovery, highlighting environmental hazards for children.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
Background:
- Compartment syndrome is a serious condition characterized by increased pressure within a fascial compartment.
- Pediatric environmental hazards can lead to unique and severe injuries.
Observation:
- An 18-month-old boy presented with tense leg and foot compartments after being found hanging from his toddler bed.
- Intraoperative pressures exceeded 100 mm Hg, indicating severe compartment syndrome.
Findings:
- Complete fasciotomies with secondary closure and skin grafting were performed.
- Ankle-foot orthosis and pressure garments were used for post-operative management.
- One-year follow-up revealed normal gait, function, and range of motion.
Implications:
- This case highlights a rare cause of pediatric compartment syndrome due to environmental factors.
- Physicians should consider unusual environmental hazards when evaluating pediatric limb injuries.
- Reporting to social services and the Consumer Product Safety Commission is crucial for child safety.