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Síndrome compartimental - Symptom

Síntomas:

El síntoma distintivo del síndrome compartimental es el dolor intenso que no desaparece cuando uno toma analgésicos o eleva el área afectada. En los casos más serios, los síntomas pueden abarcar:

Disminución de la sensibilidad
Palidez de la piel
Dolor intenso que empeora
Debilidad

Signos y exámenes:

Un examen físico revelará:

Dolor al apretar el compartimento
Dolor intenso al mover el área afectada (por ejemplo, una persona con síndrome compartimental en el pie o en la parte inferior de la pierna experimentará dolor intenso al mover los dedos de los pies hacia arriba y hacia abajo).
Piel brillante e hinchada

Para confirmar el diagnóstico, el médico medirá directamente la presión en el compartimento. Eso se hace empleando una aguja que va pegada a un medidor de presión dentro del compartimento. La aguja se introduce dentro del área afectada. Las mediciones específicas de la presión llevarán a un diagnóstico del síndrome compartimental.

Cuando el médico sospecha el síndrome compartimental crónico, este examen se debe realizar durante y después de la actividad que ocasiona el dolor.

Anatomía de la muñeca

Reviewed last on: 7/28/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, Unviersity of Washington School of Medicine; and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Twaddle BC, Amendola A. Compartment syndrome. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, Krettek C, eds. Skeletal Trauma. 4th ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 13.

Geiderman JM, Katz D. General principles of orthopedic injuries. In: Marx J, ed. Rosenâ€™s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 46.

Jobe MT. Compartment syndromes and Volkmann contracture. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 71.

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