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    Compartment syndrome without pain!

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    Authors
    O'Sullivan, M J
    Rice, J
    McGuinness, A J
    Affiliation
    Department of General Surgery, Cork University Hospital, Ireland.
    Issue Date
    2012-02-03T15:10:45Z
    MeSH
    Adult
    Analgesia, Patient-Controlled
    Anterior Compartment Syndrome/*diagnosis
    Fibula/injuries
    Fracture Fixation, Intramedullary
    Humans
    Male
    Tibial Fractures/*surgery
    Time Factors
    
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    Citation
    Ir Med J. 2002 Jan;95(1):22.
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/209044
    PubMed ID
    11928785
    Abstract
    We report the case of a young male patient who underwent intra-medullary nailing for a closed, displaced mid-shaft fracture of tibia and fibula. He was commenced on patient controlled analgesia post-operatively. A diagnosis of compartment syndrome in the patient's leg was delayed because he did not exhibit a pain response. This ultimately resulted in a below-knee amputation of the patient's leg. We caution against the use of patient controlled analgesia in any traumatised limb distal to the hip or the shoulder.
    Language
    eng
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    Cork University Hospital

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