|
The Journal of Bone and Joint Surgery, Vol 60, Issue 4 499-505, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Fluid balance within the canine anterolateral compartment and its relationship to compartment syndromes
AR Hargens, WH Akeson, SJ Mubarak, CA Owen, KL Evans, LP Garetto, MR Gonsalves and DA Schmidt
Fluid homeostasis within muscle compartments is maintained by four
pressures: capillary blood pressure, capillary blood oncotic pressure,
tissue-fluid pressure, and tissue fluid oncotic pressure. As determined in
the canine anterolateral compartment, capillary blood pressure is 25 +/- 3
millimeters of mercury; capillary blood oncotic pressure, 26 +/- 3
millimeters of mercury, tissue-pbessure, -2 +/- 2 millimeters of mercury;
and tissue-fluid oncotic pressure, 11 +/- 1 millimeters of mercury. The
wick technique allows direct measurement of tissue-fluid pressure in
skeletal muscle and, with minor modifications, is adapted to collect
microsamples of interstitial fluid for determinations of tissue-fluid
oncotic pressure. The wick technique detects very slight fluctuations in
intracompartmental pressure such as light finger compression, injection of
small volumes of fluid, and even pulsation due to adjacent arterial
pressure. Adjacent muscle compartments may contain different tissue-fluid
pressure due to impermeable osseofascial barriers. Our results obtained in
canine muscle compartments pressurized by infusion of autologous plasma
suggest that risks of muscle damage are significant at intracompartmental
pressures greater than thirty millimeters of mercury.
 CiteULike  Connotea  Del.icio.us  Facebook  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
B. T. Leek, R. S. Meyer, J. M. Wiemann, A. Cutuk, B. R. Macias, and A. R. Hargens
The Effect of Kneeling During Spine Surgery on Leg Intramuscular Pressure
J. Bone Joint Surg. Am.,
September 1, 2007;
89(9):
1941 - 1947.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Dabby, F. Greif, M. Yaniv, M. Rubin, S. Dekel, and S. Lelcuk
Thromboxane A2 in Postischemic Acute Compartmental Syndrome
Arch Surg,
September 1, 1998;
133(9):
953 - 956.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Odland, A. Umeda, S. Stevens, J. Heinrich, and M. Rowe
Reduction of Tissue Edema by Microdialysis
Arch Otolaryngol Head Neck Surg,
June 1, 1995;
121(6):
662 - 666.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. J. Dierberg and O. W. Brown
Rapid Measurement of Compartment Pressure -- A New Technique
Vascular and Endovascular Surgery,
May 1, 1990;
24(4):
277 - 280.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. P. Wiley, W. B. Short, D. A. Wiseman, and S. D. Miller
Ultrasound catheter placement for deep posterior compartment pressure measurements in chronic compartment syndrome
Am. J. Sports Med.,
January 1, 1990;
18(1):
74 - 79.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. M. Odland and J. I. Cohen
Measurement of Interstitial Tissue Compliance in Skin Flaps
Arch Otolaryngol Head Neck Surg,
November 1, 1988;
114(11):
1276 - 1279.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Crockett, B. Glenville, and J. Bennett
Compartment syndrome as a complication of intra-aortic balloon pumping
Perfusion,
July 1, 1986;
1(3):
209 - 212.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. D. Peek and D. W. Haynes
Compartment syndrome as a complication of arthroscopy: A case report and a study of interstitial pressures
Am. J. Sports Med.,
December 1, 1984;
12(6):
464 - 468.
[PDF]
|
|
|
|
|
|
|
S. J. Mubarak, C. A. Owen, S. Garfin, and A. R. Hargens
Acute exertional superficial posterior compartment syndrome
Am. J. Sports Med.,
September 1, 1978;
6(5):
287 - 290.
[PDF]
|
|
|
|
