Secondary extremity compartment syndrome

Lorraine N. Tremblay, David V. Feliciano, Grace Rozycki

Research output: Contribution to journalArticle

Abstract

Background Abdominal compartment syndrome has been reported to occur after fluid resuscitation in injured patients, even in the absence of intra-abdominal injuries. This report describes a set of patients who developed the secondary extremity compartment syndrome (SECS) in uninjured extremities after resuscitation for other injuries. Methods This study was a retrospective chart review of all trauma patients developing SECS at a Level I trauma center. Data are mean ± SD. Results From 1996 to 2001, 10 patients (8 men, age 31 ± 13 years, Injury Severity Score of 29 ± 17, and 3 with penetrating trauma) from a series of 11,996 trauma admissions developed SECS after resuscitation for other injuries. The mean number of extremities developing the SECS per patient was 3.1. This included compartment syndromes in 10 upper extremities and in 12 lower extremities that did not have any apparent injuries (i.e., contusions, fractures, or vascular injuries). After evaluation by the trauma team, abdominal silos were needed in 7 of the 10 patients also, and the mortality in patients with the SECS was 70%. Conclusion SECS is a rare complication of the postresuscitation systemic inflammatory response syndrome, is associated with significant morbidity, and may be a marker for mortality. SECS should be ruled out by measurement of compartment pressures in uninjured and injured extremities in patients with severe diffuse edema after resuscitation for injury.

Original languageEnglish (US)
Pages (from-to)833-837
Number of pages5
JournalJournal of Trauma
Volume53
Issue number5
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Compartment Syndromes
Extremities
Wounds and Injuries
Resuscitation
Intra-Abdominal Hypertension
Abdominal Injuries
Systemic Inflammatory Response Syndrome
Injury Severity Score
Mortality
Contusions
Trauma Centers
Vascular System Injuries
Upper Extremity
Lower Extremity
Edema
Morbidity
Pressure

Keywords

  • Compartment pressure
  • Secondary extremity compartment syndrome
  • Systemic inflammatory response syndrome

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Secondary extremity compartment syndrome. / Tremblay, Lorraine N.; Feliciano, David V.; Rozycki, Grace.

In: Journal of Trauma, Vol. 53, No. 5, 01.01.2002, p. 833-837.

Research output: Contribution to journalArticle

Tremblay, Lorraine N. ; Feliciano, David V. ; Rozycki, Grace. / Secondary extremity compartment syndrome. In: Journal of Trauma. 2002 ; Vol. 53, No. 5. pp. 833-837.
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