Rethinking the Paradigm of Using Ps for Diagnosing Compartment Syndrome.

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Abstract

Conflict of interest statement: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A775). 8. Cureus. 2024 Feb 23;16(2):e54757. doi: 10.7759/cureus.54757. eCollection 2024 Feb. Predictors of Acute Compartment Syndrome in Patients With Forearm Fractures: A Systematic Review. AlHussain A(1), Almagushi NA(2), Alowid F(3), AlObaid B(3), Almagushi NA(4), Alotaibi SN(3), Almosa MS(3), Alhossan MA(3), Alanazi SS(5), Alhuwairini F(6), Bin Dukhi MM(3). Author information: (1)Orthopaedic Surgery, King Abdulaziz Medical City, Riyadh, SAU. (2)Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Riyadh, SAU. (3)College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU. (4)Medical School, Royal College of Surgeons in Ireland, Dublin, IRL. (5)Medical School, Imam Abdulrahman Bin Faisal University, Al Khobar, SAU. (6)Orthopaedic Surgery, Security Forces Hospital, Riyadh, SAU. Acute compartment syndrome (ACS) is a critical orthopedic and traumatology emergency arising from elevated pressure within a confined osteofascial compartment, leading to compromised blood circulation and tissue ischemia. This systematic review aims to comprehensively identify and analyze the most predictable risk factors associated with ACS development in patients with forearm fractures. Published articles on ACS were meticulously searched and evaluated on reputable medical databases such as PubMed. The keywords "risk factors associated with the ACS in patients who have sustained forearm fractures"were used to create the search syntax on various databases. Data were gathered on raw prevalence, population under study, and methodology. A total of 10 articles that met the search criteria were identified and included in this review with a total of more than 300,000 patients across the studies. Fracture-related ACS was the most common, followed by soft tissue damage among patients with forearm fractures. This review underscores fractures as primary ACS catalysts, along with the role of soft tissue trauma. Meticulous consideration of these risk factors can enhance clinical decision-making, early detection, and intervention, improving patient outcomes and care quality. Copyright © 2024, AlHussain et al. DOI: 10.7759/cureus.54757 PMCID: PMC10961054