Risk Factors compartment syndrome

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;


Overview

Various risk factors are known to be related to CS.

Risk Factors

Totally there can be several risk factors for the occurrence and progression of CS[1][2][3][4][5][6][7][8][9]:

  • Age: Younger patients are more prone to get CS than elderly cases.
  • Gender: Males are ten times more prone to develop CS than females.
  • Type of injury
  • Site of injury
  • Burns to the limb
  • Blunt to the limb
  • Crushing trauma to the limb
  • Excessive exercise or nonroutine physical activity
  • Nonaccidental causes like medical conditions include
  • Nephrotic syndrome
  • Viral myositis
  • Hypothyroidism
  • Bleeding disorders
  • Malignancies
  • Diabetes mellitus

On the other hand in there can be another classification for the risk factor of CS:

The primary risk factors of Acute Compartment Syndrome:

  • A crushing injury to the extremity
  • Wearing too tight, a bandage or cast
  • Participation in any rough or high-impact sport
  • Consumption of anticoagulants, which increases the risk of bleeding within a compartment
  • Individuals with a bleeding disorder, such as hemophilia

The primary risk factors of Chronic (Exertional) Compartment Syndrome:

  • Athletes, younger than 30 years
  • Consumption of anabolic steroids or the supplement creatine
  • Any sport or physical activity that involves repetitive motions, such as running or fast-walking

References

  1. Godon B, Crielaard JM (February 2005). "[Compartment syndrome and sport traumatology]". Rev Med Liege (in French). 60 (2): 109–16. PMID 15819374.
  2. Mars M, Hadley GP (July 1998). "Raised intracompartmental pressure and compartment syndromes". Injury. 29 (6): 403–11. PMID 9813693.
  3. Frink M, Hildebrand F, Krettek C, Brand J, Hankemeier S (April 2010). "Compartment syndrome of the lower leg and foot". Clin. Orthop. Relat. Res. 468 (4): 940–50. doi:10.1007/s11999-009-0891-x. PMC 2835588. PMID 19472025.
  4. McDonald S, Bearcroft P (June 2010). "Compartment syndromes". Semin Musculoskelet Radiol. 14 (2): 236–44. doi:10.1055/s-0030-1253164. PMID 20486031.
  5. Johnston-Walker E, Hardcastle J (2011). "Neurovascular assessment in the critically ill patient". Nurs Crit Care. 16 (4): 170–7. doi:10.1111/j.1478-5153.2011.00431.x. PMID 21651657.
  6. Suzuki T, Moirmura N, Kawai K, Sugiyama M (January 2005). "Arterial injury associated with acute compartment syndrome of the thigh following blunt trauma". Injury. 36 (1): 151–9. doi:10.1016/j.injury.2004.03.022. PMID 15589934.
  7. Alexander W, Low N, Pratt G (January 2018). "Acute lumbar paraspinal compartment syndrome: a systematic review". ANZ J Surg. doi:10.1111/ans.14342. PMID 29316189.
  8. Thati S, Carlson C, Maskill JD, Anderson JG, Bohay DR (June 2008). "Tibial compartment syndrome and the cavovarus foot". Foot Ankle Clin. 13 (2): 275–305, vii. doi:10.1016/j.fcl.2008.02.001. PMID 18457774.
  9. Fulkerson E, Razi A, Tejwani N (February 2003). "Review: acute compartment syndrome of the foot". Foot Ankle Int. 24 (2): 180–7. doi:10.1177/107110070302400214. PMID 12627629.