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족부 구획증후군의 지연치료: 증례 보고

Delayed Treatment of Foot Compartment Syndrome: A Case Report and Literature Review

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초록

Acute compartment syndrome occurs when pressure increases within closed compartments due to injuries causing soft tissue damage. Delayed treatment can lead to undesirable consequences. This paper reports a three-year-old patient in whom a fasciotomy was per￾formed successfully despite the potential side effects. Fasciotomy may be considered when the diagnosis and clinical symptoms of de￾layed compartment syndrome are clear. This study determined that the three-year-old patient would undergo a relatively smooth recov￾ery compared to elderly patients of advanced age. Because the dorsalis pedis artery pulse was palpable, an emergency surgical treatment was performed to restore the damaged tissues and prevent further necrosis. The patient has shown a satisfactory recovery.

Abstract

Acute compartment syndrome occurs when pressure increases within closed compartments due to injuries causing soft tissue damage. Delayed treatment can lead to undesirable consequences. This paper reports a three-year-old patient in whom a fasciotomy was per￾formed successfully despite the potential side effects. Fasciotomy may be considered when the diagnosis and clinical symptoms of de￾layed compartment syndrome are clear. This study determined that the three-year-old patient would undergo a relatively smooth recov￾ery compared to elderly patients of advanced age. Because the dorsalis pedis artery pulse was palpable, an emergency surgical treatment was performed to restore the damaged tissues and prevent further necrosis. The patient has shown a satisfactory recovery.

참고문헌 (10)

  1. 오창욱, "외상 후 발생하는 급성 구획 증후군", 대한골절학회지, 23(4), pp.399~403 (2010), 대한골절학회
  2. 채수욱, "하지와 족부의 급성 구획 증후군", 대한족부족관절학회지, 17(3), pp.165~173 (2013), 대한족부족관절학회
  3. Eric Fulkerson, "Review: Acute Compartment Syndrome of the Foot", Foot & Ankle International, 24(2), pp.180~187 (2003), SAGE Publications[DOI]
  4. Charles Court-brown, "Compartment syndrome delays tibial union", Acta Orthopaedica Scandinavica, 58(3), pp.249~252 (1987), Medical Journals Sweden AB[DOI]
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  6. Volkman R, "Ischemic muscle paralysis and contractures", Zentralbl Chir, 8, pp.801~803 (1881)[DOI]
  7. Schreiber SN, "Limb compression and renal impairment (crush syndrome) following narcotic and sedative overdose", J Bone Joint Surg Am, 54, pp.1683~1692 (1972)
  8. N. D. Reis, "Mechanical muscle-crush injury and acute muscle-crush compartment syndrome", The Journal of Bone and Joint Surgery. British volume, 87(4), pp.450~453 (2005), British Editorial Society of Bone & Joint Surgery[DOI]
  9. Matsen FA 3rd, "Compartmental syndrome. An unified concept", Clin Orthop Relat Res, (113), pp.8~14 (1975)
  10. Ernst CB, "Fibulectomy-fasciotomy. An important adjunct in the management of lower extremity arterial trauma", J Trauma, 11, pp.365~380 (1971)

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