ANKLE AND KNEE POSITION AS A FACTOR MODIFYING INTRACOMPARTMENTAL PRESSURE IN THE HUMAN LEG
ANKLE AND KNEE POSITION AS A FACTOR MODIFYING INTRACOMPARTMENTAL PRESSURE IN THE HUMAN LEG
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DOI：
10.2106/00004623-198466090-00015
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发表时间：
1984-01-01
影响因子：
5.3
通讯作者：
AKESON, WH
中科院分区：
文献类型：
--
作者：
GERSHUNI, DH;YARU, NC;AKESON, WH
The effect of position of the knee and ankle on intracompartmental pressures in the leg was studied. Slit catheters were introduced bilaterally into all 4 muscle comparments of the lower extremities of 6 healthy volunteers. Intracompartmental pressures were monitored with the catheters while the ankle joint was passively held in full dorsiflexion, full plantar flexion or neutral with the knee flexed 90% or 10.degree. or fully extended. Statistical analysis revealed that intracompartmental pressure increased significantly in all 4 compartments when the ankle was passive dorsiflexed. Pressure in the superficial posterior and lateral compartments was dependent on knee position and in the deep posterior and anterior compartments it was independent of knee position. In addition, pressure in the deep posterior compartment decreased significantly when the ankle was placed in full passive plantar flexion; that finding was independent of knee position. Anterior compartment pressure was not significant elevated by full passive plantar flexion of the ankle. Immobilization of a tibial fracture with the ankle in plantar flexion may be prepared in most clinical situations in order to minimize intracompartmental tamponade in patients with incipient compartment syndrome.
