2664. Explanation
Correct Answer: A) Emergency fasciotomy
Explanation:
The patient has acute compartment syndrome with critically elevated intracompartmental pressure (90 mmHg), requiring emergency fasciotomy to relieve pressure, restore perfusion, and prevent irreversible muscle and nerve damage
It is referred to as increased pressure within a closed osteofascial compartment, causing compromised circulation and tissue perfusion.
Raised compartment pressure causes:
Compromised tissue perfusion
Muscle ischemia
Nerve injury
Irreversible tissue necrosis if untreated
Clinical features:
Severe pain out of proportion to injury
Pain on passive stretch
Tense swollen compartment
Paresthesia and paralysis in late stages
Management: Emergency fasciotomy is the treatment of choice
Relieves pressure within compartment
Restores circulation to muscles and nerves
Prevents permanent disability and limb loss.
Fasciotomy:
Two longitudinal incisions are given, one on the medial side and one on th lateral side.
The skin, subcutaneous fat, and fascia are incised during fasciotomy.
The muscle bulges through the fascia after decompression
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