Use of standard musculoskeletal ultrasound to determine the need for fasciotomy in an elevated muscle compartment pressure cadaver leg model

Meir Marmor, Jonathan Charlu, Riley Knox, William Curtis, Paul Hoogervorst, Safa Herfat

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction: Acute compartment syndrome (ACS) is a limb-threatening condition often associated with leg injury. The only treatment of ACS is fasciotomy with the purpose of reducing muscle compartment pressures (MCP). Patient discomfort and low reliability of invasive MCP measurements, has led to the search for alternative methods. Our goal was to test the feasibility of using ultrasound to diagnose elevated MCP. Methods: A cadaver model of elevated MCPs was used in 6 cadaver legs. An ultrasound transducer was combined with a pressure sensing transducer to obtain a B-mode image of the anterior compartment, while controlling the amount of pressure applied to the skin. MCP was increased from 0 to 75 mmHg. The width of the anterior compartment (CW) and the pressure needed to flatten the bulging superficial compartment fascia (CFFP) were measured. Results: Both the CW and CFFP showed high correlations to MCP in the individual cadavers. Average CW and CFFP significantly increased between baseline and the first elevated MCP states. Both Inter-observer and intra-observer agreements for the ultrasound measurements were good to excellent. Discussion: Ultrasound indexes showed excellent correlations in compartment pressures, suggesting that there is a potential for the clinical use of this modality in the future.

Original languageEnglish (US)
Pages (from-to)627-632
Number of pages6
JournalInjury
Volume50
Issue number3
DOIs
StatePublished - Mar 2019
Externally publishedYes

Bibliographical note

Funding Information:
Funding from AO Trauma North America supported this research project. We will also like to thank Dr. Karl Siebuhr, and our Surgical Training Facility staff for their excellent assistance and support.

Publisher Copyright:
© 2019 Elsevier Ltd

Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.

Keywords

  • Acute compartment syndrome
  • Compartment pressure measurement
  • Non-invasive
  • Ultrasound

Fingerprint Dive into the research topics of 'Use of standard musculoskeletal ultrasound to determine the need for fasciotomy in an elevated muscle compartment pressure cadaver leg model'. Together they form a unique fingerprint.

Cite this