Early Onset of Acute Compartment Syndrome Diagnosed by a Simple Needle Manometer Technique

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  • MATORI Shigetaka
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • MIYAGI Takuya
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • HANASHIRO Hukuko
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • SONOSAKI Tetsu
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • HAYASHI Kentarou
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • AWASAWA Tsuyoshi
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • KARIYA Yoshiyuki
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • TAKAHASHI Kenzo
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus
  • UEZATO Hiroshi
    Department of Dermatology, Graduate school of Medicine, University of the Ryukyus

Bibliographic Information

Other Title
  • Simple Needle Manometer 法で早期診断したハブ咬症によるコンパートメント症候群の1例
  • 症例 Simple Needle Manometer法で早期診断したハブ咬症によるコンパートメント症候群の1例
  • ショウレイ Simple Needle Manometerホウ デ ソウキ シンダン シタ ハブコウショウ ニ ヨル コンパートメント ショウコウグン ノ 1レイ
  • Early onset of acute compartment syndrome diagnosed by a simple needle manometer technique [in Japanese]

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Description

A 66-year-old woman was bitten by a Habu snake in the leg at home. One bite mark was observed on the dorsum pedis,and she complained of severe pain. Three hours after injury, a swollen erythema with a burning sensation spread toward the lower right thigh and the serum CPK (creatine phosphokinase) level increased. A severe elevation, 70 mmHg (normal values of 0-8 mmHg), of the intra-compartmental pressure in the lower leg muscles was recorded by a simple needle manometer technique, and she was diagnosed as acute compartment syndrome. The patient was treated with emergency incisional fasciotomy and recovered without any sequela or renal damage by a myonecrosis. The needle manometer technique is a simple but very useful method to detect the early onset of acute compartment syndrome of various causes, including snake poison.

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