Accession Number : ADA614683


Title :   Acute Compartment Syndrome of the Thigh in Combat Casualties


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Masini, Brendan D ; Racusin, Adam W ; Wenke, Joseph C ; Gerlinger, Tad L ; Hsu, Joseph R


Full Text : http://www.dtic.mil/dtic/tr/fulltext/u2/a614683.pdf


Report Date : 01 Mar 2013


Pagination or Media Count : 9


Abstract : Acute compartment syndrome of the thigh is a rare clinical entity often caused by high-energy trauma and presenting with a spectrum of associated injuries. Service members in combat are at risk for these causative mechanisms. This study presents a large cohort of thigh compartment syndrome combat casualties and investigates the injury mechanisms, associated mortality, and complications related to fasciotomies. Blasts were the most frequent injury mechanism, overall mortality was 23%, burns were associated with a higher mortality, and fasciotomy morbidity was reported by all respondents. The mortality was similar to civilian cohorts with thigh compartment syndrome and was isolated to patients with high Injury Severity Scores. While mortality associated with this injury is high, it is likely related to associated injury patterns rather than the compartment syndrome itself. Thigh compartment fasciotomies carried significant morbidity, consistent with civilian trauma publications.


Descriptors :   *MILITARY PERSONNEL , *WOUNDS AND INJURIES , BURNS(INJURIES) , CASUALTIES , COMBAT AREAS , DEPLOYMENT , MEDICAL SERVICES , MILITARY MEDICINE , MORBIDITY , MORTALITY RATE , PATIENTS , PATTERNS , WARFARE


Subject Categories : Medicine and Medical Research
      Weapons Effects(biological)


Distribution Statement : APPROVED FOR PUBLIC RELEASE