APPLIED RADIOLOGICAL ANATOMY

ANATOMY

MUSCULOSKELETAL AND SOFT TISSUE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A medical emergency that must be identified immediately; pressure within the muscle compartment or cast increases as perfusion to the area decreases which could lead to necrosis and irreversible neuromuscular damage. Pain is worst with movement.
A
Compact syndrome
B
Avascular necrosis
C
Compartment syndrome
D
Atherosclerosis
Explanation: 

Detailed explanation-1: -Acute compartment syndrome occurs when there is increased pressure within a closed osteofascial compartment, resulting in impaired local circulation. Acute compartment syndrome is considered a surgical emergency since, without proper treatment, it can lead to ischemia and eventually necrosis.

Detailed explanation-2: -Acute compartment syndrome is a medical emergency. It is usually caused by a severe injury and is extremely painful. Without treatment, it can lead to permanent muscle damage. Chronic compartment syndrome, also known as exertional compartment syndrome, is usually not a medical emergency.

Detailed explanation-3: -Compartment pressures capable of compromising perfusion develop when they rise to within 10 to 30 mmHg of diastolic pressure; muscle oxygenation decreases as tissue pressure approaches mean arterial pressure [19, 50, 51]. Therefore, ACS develops based upon both compartment and systemic blood pressures.

Detailed explanation-4: -If symptoms point to chronic compartment syndrome, your doctor performs a compartment pressure test before and after a workout to compare pressure levels. If either or both readings indicate high pressure, you have chronic compartment syndrome. Your doctors may recommend medical treatment or surgery.

Detailed explanation-5: -Any swelling in a compartment will lead to increased pressure in that area. This raised pressure, presses the muscles, blood vessels, and nerves. If this pressure is high enough, blood flow to the compartment will be blocked. This can lead to permanent injury to the muscle and nerves.

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