TY - JOUR
T1 - Evaluation of limb compartments with suspected increased interstitial pressure
T2 - A noninvasive method for determining quantitative hardness
AU - Steinberg, B. D.
AU - Gelberman, R. H.
PY - 1994
Y1 - 1994
N2 - Six compartments in four dogs and three compartments in three anatomic specimen limbs were injected with plasma, and the intracompartmental interstitial pressure and hardness of the compartments were measured. Six patients suspected of having compartment syndromes were also studied. Of the compartments evaluated in the dog and anatomic specimen limbs, the average correlation coefficient between measurements with the two methods was 0.95 (range, 0.87 to 0.99). In six patients suspected of having compartment syndromes, the ratios of quantitative hardness of the injured to uninjured limbs closely matched the intracompartmental interstitial pressure measurement ratios (correlation coefficient, 0.95). All correlation coefficients were significant (F test, p < 0.05). There was a close correlation between the direct measurement of intracompartmental interstitial pressure with the wick catheter and quantitative hardness in compartment syndrome models in dog and anatomic specimen limbs, and in patients suspected of having compartment syndromes. The determination of surface hardness of limb compartment which appears accurate and reproducible, offers the advantages of being noninvasive and we suited for longer-term assessment of intracompartmental interstitial pressure.
AB - Six compartments in four dogs and three compartments in three anatomic specimen limbs were injected with plasma, and the intracompartmental interstitial pressure and hardness of the compartments were measured. Six patients suspected of having compartment syndromes were also studied. Of the compartments evaluated in the dog and anatomic specimen limbs, the average correlation coefficient between measurements with the two methods was 0.95 (range, 0.87 to 0.99). In six patients suspected of having compartment syndromes, the ratios of quantitative hardness of the injured to uninjured limbs closely matched the intracompartmental interstitial pressure measurement ratios (correlation coefficient, 0.95). All correlation coefficients were significant (F test, p < 0.05). There was a close correlation between the direct measurement of intracompartmental interstitial pressure with the wick catheter and quantitative hardness in compartment syndrome models in dog and anatomic specimen limbs, and in patients suspected of having compartment syndromes. The determination of surface hardness of limb compartment which appears accurate and reproducible, offers the advantages of being noninvasive and we suited for longer-term assessment of intracompartmental interstitial pressure.
UR - http://www.scopus.com/inward/record.url?scp=0028386233&partnerID=8YFLogxK
U2 - 10.1097/00003086-199403000-00034
DO - 10.1097/00003086-199403000-00034
M3 - Article
C2 - 8131344
AN - SCOPUS:0028386233
SN - 0009-921X
VL - 300
SP - 248
EP - 253
JO - Clinical orthopaedics and related research
JF - Clinical orthopaedics and related research
ER -