RT Journal
A1 Gibbons, C. T.
A1 Partington, P. E.
A1 Willy, Christian
A1 Gerngross, Heinz
A1 Sterk, Jurgen
T1 Intracompartmental Pressure Thresholds
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2000
FD August 1
VO 82
IS 8
SP 1205
OP a
DO 
UL http://dx.doi.org/
AB 
We would, however, welcome some further clarification of the
results in Table III detailing the pressures in the monitored patients.
As may be expected, the median pressure values were higher in those
with compartment syndrome, but there was an overlap of pressure
ranges between the two groups. In particular, one patient with an intracompartmental
pressure of thirty-two millimeters of mercury required fasciotomy
but another with a pressure of thirty-three millimeters of mercury
did not. Mention is made of the value of objective data as an adjunct
to clinical examination. If the two patients had been unconscious and
unable to cooperate with clinical assessment, pressure measurements
would not have been able to differentiate between them at that point
in time. We would be interested in the authors' comments on the
specificity of compartmental pressure for the diagnosis of acute compartment
syndrome.