Compartment syndrome threatens limb viability (possibly requiring amputation) and survival. Over the long term, it can cause contractures, sensory deficits, and paralysis. Distally, there is the transmetatarsal ligament in the first webspace. The result: a splay foot or flat foot can. Untreated compartment syndrome can lead to rhabdomyolysis, hyperkalemia, and infection. Operative intervention is recommended for base of the fifth metatarsal avulsion fractures (zone one) with more than three millimeters of displacement. Description Fractures of the forefoot: Classification ( 1 ): Metatarsal head, neck, or shaft fractures Stress fractures most commonly involve the 2nd metatarsal and result from repetitive overuse. Anatomy First Metatarsal The first metatarsal is larger than the lesser 4 metatarsals. If a comminuted fracture is present, there is a risk that the individual bone fragments will not heal sufficiently. In addition to fractures, musculoskeletal injuries include Joint dislocations. Most fractures result from a single, significant force applied to normal bone. Risk is high with forearm fractures that involve both the radius and ulna, tibial plateau fractures (proximal tibial fractures that extend into the joint space), or tibial shaft fractures ( 1 Complications references A fracture is a break in a bone. Crush injuries or markedly comminuted fractures are a common cause, increasing tissue pressure as edema develops. Their incidence is 1 per 60,000 annually (3). read more : Tissue pressure increases in a closed fascial space, disrupting the vascular supply and reducing tissue perfusion. Some studies have shown acceptable union rates treating larger, displaced (>2-mm) fifth metatarsal avulsion fractures nonoperatively, 6, 18 although lost work days and a prolonged time period to. The displaced second metatarsal fracture was treated by open reduction and internal fixation using a. The earliest symptom is pain out of proportion to the severity of injury. Compartment syndrome Compartment Syndrome Compartment syndrome is increased tissue pressure within a closed fascial space, resulting in tissue ischemia.
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