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Atraumatic Compartment Syndrome: A Manifestation of Toxic Shock and Infectious Pyomyositis in a ChildA Case Report
SangDo Park, MD1; Joshua B. Shatsky, MD1; Bruce R. Pawel, MD1; Lawrence Wells, MD1
1 Division of Pediatric Orthopaedic Surgery, The Children's Hospital of Philadelphia, Richard D. Wood Center, 2nd Floor, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399. E-mail address for L. Wells: WellsL@email.chop.edu
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Jun 01;89(6):1337-1342. doi: 10.2106/JBJS.F.00979
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Extract

Compartment syndrome of the extremity is a condition in which elevated pressure within a fascial compartment compromises perfusion of the enclosed tissues and ultimately leads to loss of function of the extremity1. Presenting acutely, compartment syndrome is usually induced by trauma and requires urgent treatment with fasciotomy to lower compartment pressure and to reduce the amount of myonecrosis that may occur. We present an unusual case of compartment syndrome that was caused by infection and that was not secondary to injury. Our patient and her family were informed that data from the case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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