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Assessment of normal forearm compartment pressures in a Nigerian population

  • A. I. Adeyeye
  • O. Esan
  • I. C. Ikem
Original Article

Abstract

Purpose

The forearm is prone to raised compartment pressure and it is the second most common site for compartment syndrome. The normal compartment pressure of the forearm should be known and serve as a benchmark for the diagnosis of acute and chronic compartment syndrome. This study was aimed to determine the normal compartment pressures of the forearm using a digital compartment pressure monitor.

Methods

This was a prospective hospital-based study of the uninjured forearm in 30 patients, who presented with closed unilateral forearm fracture at the accident and emergency department of a tertiary health care facility, between June 2012 and December 2013. Approval was sought and obtained from institutions ethical committee. An 18 gauge bevelled-tip needle, attached to a Compass TM digital compartment pressure monitor made by Mirador USA, was used to measure the pressures in the compartments of the forearm. Data obtained were analysed using the Stata 12. Significance was determined at p < 0.05.

Results

The mean age was 38.3 ± 18.3 years with male-to-female ratio of 2.3:1. The pressures in the volar compartment of the forearm ranged from 1 to 8 mmHg with a mean ± SD compartment pressure of 4.7 ± 1.5 mmHg. In the dorsal compartment the pressure ranged from 2 to 8 mmHg with a mean ± SD of 4.9 ± 1.7 mmHg SD, while the lateral compartment measurement ranged between 1 and 5 mmHg with a mean ± SD of 3.6 ± 1.1 mmHg. There was significant positive correlation (p < 0.01) between the compartment pressures in the volar, dorsal, and lateral compartments.

Conclusion

The normal compartment pressure for forearm is 4.4 ± 1.6 mmHg and ranged from 1 to 8 mmHg from this study in our environment. This will serve as reference value when forearm compartment pressure is being measured.

Keywords

Forearm Compartment pressures Digital compartment pressure measurement 

Notes

Compliance with ethical standards

Conflict of interest

Adeyeye AI, Esan Oluwadare, and Ikem IC declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standard of the institutional ethical committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Ogunlusi JD, Oginni LM, Ikem IC. Compartment pressure in adults with tibial fractures. Int Orthop. 2005;2:130–3.CrossRefGoogle Scholar
  2. 2.
    Staudt JM, Smeulders MJC, van der Horst CMAM. Normal compartment pressures of the lower leg in children. J Bone Joint Surg Br. 2008; 90:215–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Botte MJ, Gelberman RH. Acute compartment syndrome of the forearm. Hand Clin. 1998;14:391–403.PubMedGoogle Scholar
  4. 4.
    McQueen MM, Gaston P, Court-Brown CM. Acute compartment syndrome. Who is at risk? J Bone Joint Surg Br. 2000;82:200–3.CrossRefPubMedGoogle Scholar
  5. 5.
    Mirador Biomedical. Compartment Pressure Monitor instruction manual. http://miradorbiomedical.com/products/ compass-compartment-pressure/. Accessed 10 Jan 2013.
  6. 6.
    Mubarak SJ, Hargens AR, Owen CA, Garetto LP, Akeson WH. The wick catherter technique for measurement of intramuscular pressure. A new research and clinical tool. J Bone Joint Surg Am. 1976;58:1016–20.CrossRefPubMedGoogle Scholar
  7. 7.
    Hammerberg EM, Whitesides TE Jr, Seiler JG. The reliability of measurement of tissue pressure in compartment syndrome. J Orthop Trauma. 2012;26:24–31.CrossRefPubMedGoogle Scholar
  8. 8.
    Toomayan GA, Robertson F, Major NM, Brigman BE. Upper extremity compartmental anatomy: clinical relevance to radiologists. Skeletal Radiol. 2006;35:195–201.CrossRefPubMedGoogle Scholar
  9. 9.
    Daniel RN, Estomih M, William BN. Forearm compartment syndrome: anatomical analysis of surgical approaches to the deep space. Plast Recon Surg. 2004;114:697–705.CrossRefGoogle Scholar
  10. 10.
    Chan PS, Steinberg DR, Pepe MD, Beredjiklian PK. The significance of the three volar spaces in forearm compartment syndrome: a clinical and cadaveric correlation. J Hand Surg Am 1998;23: 1077.CrossRefPubMedGoogle Scholar
  11. 11.
    Aerts P, DeBoeck H, Castelyn PP, Opdecam P. Deep volar compartment syndrome of the forearm following minor crush injury. J Pediatr Orthop. 1989;9:69.CrossRefPubMedGoogle Scholar
  12. 12.
    Kalyani BS, Fisher BE, Roberts CS, Giannoudis PV. Compartment syndrome of the forearm: a systematic review. J Hand Surg Am. 2011;36:535–43.CrossRefPubMedGoogle Scholar
  13. 13.
    Shadan B, Periera G, Menon M, Jafari S, Ried WD, O’brien PJ. Risk factors for compartment syndrome of the leg ssociated with tibia diaphyseal fractures in adults. J Orthopaed Traumatol. 2015;16:185–92.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryOndo State Trauma and Surgical CenterOndoNigeria
  2. 2.Department of Orthopaedic Surgery and TraumatologyObafemi Awolowo University/Teaching Hospitals ComplexIle IfeNigeria

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