Abstract

Abstract

Introduction- Compartment syndrome is special entity, common in leg, forearm, thigh and arm, due to increased intra compartment pressure within a limited space area. Compartment syndrome is a condition in which increased tissue pressure within a limited space compromises the circulation and function of the contents of that space. This happens when intramuscular pressure is elevated over a certain level for a period sufficient to reduce capillary perfusion. The inadequate tissue perfusion then leads to inadequate tissue oxygenation to the nerves as well as muscles within the affected compartment. Method – A 45 years old female patient having abscess impending compartment syndrome of left forearm was planned for fasciotomy which is the necessary and immediate treatment. .In this case study urgent fasciotomy   was done to prevent irreversible sequelae, as pressure that is not quickly relieved and may lead to necrosis of the soft tissues and permanent disability. Result- Compartment syndrome of forearm was successfully treated by surgical procedure without damaging any nerve and any complications. No recurrence was not noted upto 6 months after surgery. Conclusion- Compartment syndrome should be managed carefully as to relieve the pain and to avoid the necrosis in the muscle compartment. For better prognosis and least chances of recurrences, accurate diagnosis should be done as soon as possible and urgent fasciotomy should be done with meticulous precaution.