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Increasing analgesic requirement is an important indicator for the diagnosis of compartment syndrome in children
6%
75/1298
Duration of compartment syndrome prior to treatment is the most important variable in determining the outcome
83/1298
Mechanism of injury is the best predictor of compartment syndrome development
60%
775/1298
Traditional hallmarks of adult compartment syndrome may be more challenging to detect in pediatric compartment syndrome
4%
55/1298
Careful patient positioning and the use of prophylactic fasciotomy are methods of preventing compartment syndrome
23%
299/1298
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Compartment syndrome can often be difficult to diagnosis in the pediatric patient. Mechanism of injury is not the best predictor of compartment syndrome development or diagnosis in pediatric patients. It is important to note that functional outcome following compartment syndrome in patients is inversely related to the duration of elevated tissue pressures before surgical fasciotomy. Level 4 evidence by Bae et al reviewed 33 children with compartment syndrome. They found that all 10 compartment syndrome patients that had access to nurse or patient controlled analgesia (PCAs), during their initial evaluation, demonstrated an increasing requirement for pain medication. Matsen et al reviewed 24 children with compartment syndrome with the most common causes being fracture, vascular injury, and tibial osteotomy. The study concluded that is imperative that a compartment syndrome be identified and treated as promptly as possible.
2.8
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