تقرير
Acute compartment syndrome of the deltoid: a case report and systematic review of the literature.
| العنوان: | Acute compartment syndrome of the deltoid: a case report and systematic review of the literature. |
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| المؤلفون: | Scollan JP; Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA., Bertsch ML; Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA., Flanagan CD; Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA., Chughtai M; Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA., Chepla KJ; Department of Plastic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.; Department of Plastic Surgery, MetroHealth Medical Center, Cleveland, OH, USA., Hoyen HA; Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.; Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH, USA., Bafus BT; Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.; Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH, USA. |
| المصدر: | JSES international [JSES Int] 2020 Sep 07; Vol. 4 (4), pp. 753-758. Date of Electronic Publication: 2020 Sep 07 (Print Publication: 2020). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 101763461 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6383 (Electronic) Linking ISSN: 26666383 NLM ISO Abbreviation: JSES Int Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [New York] : Elsevier, Inc., [2020]- |
| مستخلص: | Background: Deltoid compartment syndrome is a rare entity. The purpose of this study was to report a recent case and perform a systematic literature review. Methods: Patient data were gathered from chart review and clinical encounters. For the review, the MEDLINE, Embase, and Ovid databases were queried for deltoid compartment syndrome cases. Seventeen articles reporting on 18 patients with deltoid compartment syndrome were included. Results: Including our patient, 9 of 19 patients (47.4%) presented with compartment syndrome limited to the deltoid. Most patients presented with additional affected compartments, most commonly in the ipsilateral arm (7 of 19, 37%). Isolated deltoid involvement often resulted from iatrogenic injury; of 10 iatrogenic reports, 8 involved only the deltoid. Of 19 cases, 5 (26%) occurred in powerlifters, climbers, or anabolic steroid or testosterone injectors. In 13 of 19 cases (68%), the patients were men aged 18-36 years, and only 1 female case (5%) was reported. Prolonged recumbence owing to substance abuse was documented in 6 of 19 cases (32%). Conclusion: Deltoid compartment syndrome is rare, with only 19 reported cases, including our patient. Men are more commonly affected, and isolated deltoid compartment syndrome occurs in about 50% of reported cases. More than half of cases are iatrogenic, secondary to prolonged lateral decubitus positioning, injections, and surgical interventions about the shoulder. Prolonged recumbence from intoxication is also a common etiology. Providers should be aware of and recognize deltoid compartment syndrome to facilitate urgent surgical management. (© 2020 The Author(s).) |
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| فهرسة مساهمة: | Keywords: Deltoid; acute compartment syndrome; compartment pressure; fasciotomy; shoulder; upper extremity |
| تواريخ الأحداث: | Date Created: 20201221 Latest Revision: 20220419 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7738586 |
| DOI: | 10.1016/j.jseint.2020.07.016 |
| PMID: | 33345211 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2666-6383 |
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| DOI: | 10.1016/j.jseint.2020.07.016 |