Enfoques Diagnósticos no Invasivos en el Síndrome Compartimental Revisión de la Literatura
Resumen
El síndrome compartimental es considerado como una emergencia quirúrgica ortopédica resultante de una lesión física se produce existe un aumento de presión excesiva dentro de un compartimento muscular llevando a un cuadro de isquemia el cual si es prolongado se convierte en irreversible. La medición directa de la presión compartimental sigue siendo crucial. No está establecido un diagnóstico cien por ciento certero para esta patología debido a esto se estudia espectroscopia de infrarrojo cercana y los métodos de ultrasonido, como la elastografía por deformación y el bucle de bloqueo de fase pulsado. La mayoría de los casos diagnosticados con este síndrome se presentan en las extremidades las cuales son sometidas al procedimiento de la fasciotomía, un método que se lleva a cabo para descomprimir el miembro afectado, normalizar la presión intercompartimental y reducir la disfunción neuromuscular.
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Arroyo, A., Solano, H., & Rojas, V. (2018). Síndrome Compartimental, generalidades,. Revista Clínica de la Escuela de Medicina UCR – HSJD, 8(2), 11-24. Obtenido de
https://www.medigraphic.com/pdfs/revcliescmed/ucr-2018/ucr182e.pdf
Barstow, T. (2019). Understanding near infrared spectroscopy and its application to skeletal muscle research. Journal of applied physiology, 126(5), 1360-1376. doi:
https://doi.org/10.1152/japplphysiol.00166.2018
Bloch, A., Tomaschett, C., Jakob, S., Schwinghammer, A., & Schmid, T. (2018). Compression sonography for non-invasive measurement of lower leg compartment pressure in an animal model. Injury, 49(3), 532-537. doi: https://doi.org/10.1016/j.injury.2017.11.036
Dickson, K., Sullivan, M., Steinberg, B., Myers, L., Anderson, E., & Harris, M. (2003). Noninvasive measurement of compartment syndrome. Orthopedics, 26(12), 1215-1218. doi:
https://doi.org/10.3928/0147-7447-20031201-11
Donaldson, J., Haddad, B., & Khan, W. (2014). The pathophysiology, diagnosis and current management of acute compartment syndrome. The open orthopaedics journal, 8, 185-193. doi:
https://doi.org/10.2174/1874325001408010185
Eicken, J., & Morrow, D. (2019). Limb threatening thigh hematoma diagnosis accelerated by emergency physician bedside ultrasound. SAGE open medical case reports, 7. doi:
https://doi.org/10.1177/2050313X19848589
Falcón, J., Navarro, R., Ruiz, J., Jiménez, J., & Brito, E. (2009). Fisiopatología, Etiología y Tratamiento del Síndrome Compartimental (revisión). Canarias Médica y Quirúrgica, 7(20), 14-18. Obtenido de https://accedacris.ulpgc.es/bitstream/10553/5893/1/0514198_00020_0003.pdf
Garabekyan, T., Murphey, G., Macias, B., Lynch, J., & Hargens, A. (2009). New noninvasive ultrasound technique for monitoring perfusion pressure in a porcine model of acute compartment syndrome. Journal of orthopaedic trauma, 23(3), 186-194. doi:
https://doi.org/10.1097/BOT.0b013e31819901db
Garr, J., Gentilello, L., Cole, P., Mock, C., & Matsen, F. (1999). Monitoring for compartmental syndrome using near-infrared spectroscopy: a noninvasive, continuous, transcutaneous monitoring technique. The Journal of trauma, 46(4), 613-618. doi:
https://doi.org/10.1097/00005373-199904000-00009
Giannotti, G., Cohn, S., Brown, M., Varela, J., McKenney, M., & Wiseberg, J. (2000). Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome. The Journal of trauma, 48(3), 396-401. doi: https://doi.org/10.1097/00005373-200003000-00005
Herring, M., Donohoe, E., & Marmor, M. (2019). A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg. Journal of visualized experiments : JoVE, 147. doi: https://doi.org/10.3791/5988710.3791/59887
Jackson, K., Cole, A., Potter, B., Shuler, M., Kinsey, T., & Freedman, B. (2013). Identification of optimal control compartments for serial near-infrared spectroscopy assessment of lower extremity compartmental perfusion. Journal of surgical orthopaedic advances, 22(1), 2-9. doi: https://doi.org/10.3113/jsoa.2013.0002
Jägera, C., & Zeichena, J. (2012). Síndrome compartimental agudo de la pierna. Técnicas Quirúrgicas en Ortopedia y Traumatología, 21(2), 59-69. Obtenido de https://www.elsevier.es/es-revista-tecnicas-quirurgicas-ortopedia-traumatologia-41-articulo-sindrome-compartimental-agudo-pierna-X1132195412431054
Joseph, B., Varghese, R., Mulpuri, K., Paravatty, S., Kamath, S., & Nagaraja, N. (2006). Measurement of tissue hardness: can this be a method of diagnosing compartment syndrome noninvasively in children? Journal of pediatric orthopedics, 15(6), 443-448. doi:
https://doi.org/10.1097/01.bpb.0000236226.21949.5c
Kim, H., Kim, S., Kim, B., La Yun, B., Jang, M., Ko, Y., . . . Cho, N. (2018). Comparison of strain and shear wave elastography for qualitative and quantitative assessment of breast masses in the same population. Scientific reports, 8(1), 6197. doi: https://doi.org/10.1038/s41598-018-24377-0
Lee, S., Padilla, M., Lynch, J., & Hargens, A. (2013). Noninvasive Measurements of Pressure for Detecting Compartment Syndromes. Journal of orthopedics & rheumatology, 1(1), 5. Obtenido de https://pubmed.ncbi.nlm.nih.gov/25328908/
Long, N., Ahn, J., & Kim, D. (2021). Adjunctive Use of Point of Care Ultrasound to Diagnose Compartment Syndrome of the Thigh. POCUS journal, 6(2), 64-66. doi:
https://doi.org/10.24908/pocus.v6i2.15185
Lynch, J., Lynch, J., Cole, S., Carter, J., & Hargens, A. (2009). Noninvasive monitoring of elevated intramuscular pressure in a model compartment syndrome via quantitative fascial motion. Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 27(4), 489-494. doi: https://doi.org/10.1002/jor.20778
Madeja, R., Pometlová, J., Brzóska, R., Voves, J., Bialy, L., Pleva, L., . . . Čabanová, K. (2022). Outcomes of Mini-Invasive Arthroscopic Arthrolysis Combined with Locking Screw and/or Intramedullary Nail Extraction after Osteosynthesis of the Proximal Humerus Fracture. Journal of clinical medicine, 11(2), 362. doi: https://doi.org/10.3390/jcm11020362
Marmor, M., Barker, J., Matz, J., Donohoe, E., & Herring, M. (2021). A dual-sensor ultrasound based method for detecting elevated muscle compartment pressures: A prospective clinical pilot study. Injury, 52(8), 2166-2172. doi: https://doi.org/10.1016/j.injury.2021.02.054
Meyer, R., White, K., Smith, J., Groppo, E., Mubarak, S., & Hargens, A. (2002). Intramuscular and blood pressures in legs positioned in the hemilithotomy position : clarification of risk factors for well-leg acute compartment syndrome. The Journal of bone and joint surgery. American volume, 84(10), 1829-1835. Obtenido de https://pubmed.ncbi.nlm.nih.gov/12377915/
Mubarak, S., Owen, C., Hargens, A., Garetto, L., & Akeson, W. (1978). Acute compartment syndromes: diagnosis and treatment with the aid of the wick catheter. The Journal of bone and joint surgery. American, 60(8), 1091-1095. Obtenido de https://pubmed.ncbi.nlm.nih.gov/721856/
Mühlbacher, J., Pauzenberger, R., Asenbaum, U., Gauster, T., Kapral, S., Herkner, H., & Duma, A. (2019). Feasibility of ultrasound measurement in a human model of acute compartment syndrome. World journal of emergency surgery, 14(4). doi:
https://doi.org/10.1186/s13017-019-0222-9
Ohta, H., Vo, N., Hata, J., Terawaki, K., Shirakawa, T., & Okano, H. (2021). Utilizing Dynamic Phosphorous-31 Magnetic Resonance Spectroscopy for the Early Detection of Acute Compartment Syndrome: A Pilot Study on Rats. Diagnostics, 11(4), 589. doi:
https://doi.org/10.3390/diagnostics11040586
Olán, A., Manzo, H., Hurtado, G., Nájera, J., Arreola, J., & San Pedro, I. (2023). Síndrome compartimental en extremidades. Cirujano General, 45(1), 27-37. doi:
https://doi.org/10.35366/110700
Pablo-Márquez, B., Quintas-Álvarez, S., Solá-Ruano, L., & Castillón-Bernal, P. (2014). Síndrome compartimental agudo. Medicina de Familia. SEMERGEN, 40(4), 226-228. doi:
https://www.elsevier.es/es-revista-medicina-familia-semergen-40-articulo-sindrome-compartimental-agudo-S1138359314000616
Rominger, M., Lukosch, C., & Bachmann, G. (2004). MR imaging of compartment syndrome of the lower leg: a case control study. European radiology, 14(8), 1432-1439. doi:
https://doi.org/10.1007/s00330-004-2305-5
Sadeghi, S., Johnson, M., Bader, D., & Cortes, D. (2019). The shear modulus of lower-leg muscles correlates to intramuscular pressure. Journal of biomechanics, 83, 190-196. doi: https://doi.org/10.1016/j.jbiomech.2018.11.045
Scheeren, T., Schober, P., & Schwarte, L. (2012). Monitoring tissue oxygenation by near infrared spectroscopy (NIRS): background and current applications. Journal of clinical monitoring and computing, 26(4), 279-287. doi: https://doi.org/10.1007/s10877-012-9348-y
Schmidt, A. (2017). Acute compartment syndrome. Injury, 48(1), 22-25. doi:
https://doi.org/10.1016/j.injury.2017.04.024
Sellei, R., Hingmann, S., Kobbe, P., Weber, C., Grice, J., Zimmerman, F., . . . Pape, H. (2015). Compartment elasticity measured by pressure-related ultrasound to determine patients "at risk" for compartment syndrome: an experimental in vitro study. Patient safety in surgery, 9(1), 4. doi: https://doi.org/10.1186/s13037-014-0051-4
Shaaban-Ali, M., Momeni, M., & Denault, A. (2021). Clinical and Technical Limitations of Cerebral and Somatic Near-Infrared Spectroscopy as an Oxygenation Monitor. Journal of cardiothoracic and vascular anesthesia, 35(3), 763-779. doi: https://doi.org/10.1053/j.jvca.2020.04.054
Shuler, M., Reisman, W., Cole, A., Whitesides, T., & Moore, T. (2011). Near-infrared spectroscopy in acute compartment syndrome: Case report. Injury, 42(12), 1506-1508. doi:
https://doi.org/10.1016/j.injury.2011.03.022
Shuler, M., Roskosky, M., Kinsey, T., Glaser, D., Reisman, W., Ogburn, C., . . . Freedman, B. (2018). Continual near-infrared spectroscopy monitoring in the injured lower limb and acute compartment syndrome: an FDA-IDE trial. The bone & joint journal, 100(6), 787-797. doi: https://doi.org/10.1302/0301-620X.100B6.BJJ-2017-0736.R3
Steinberg, B. (2005). Evaluation of limb compartments with increased interstitial pressure. An improved noninvasive method for determining quantitative hardness. Journal of biomechanics, 38(8), 1629-1635. doi: https://doi.org/10.1016/j.jbiomech.2004.07.030
Steinberg, B., & Gelberman, R. (1994). Evaluation of limb compartment with suspected increased interstitial pressure. A noninvasive method for determining quantitative hardness. Clinical orthopaedics and related research, 300, 248-253. Obtenido de
https://pubmed.ncbi.nlm.nih.gov/8131344/
Taylor, R., Sullivan, M., & Mehta, S. (2012). Acute compartment syndrome: obtaining diagnosis, providing treatment, and minimizing medicolegal risk. Current reviews in musculoskeletal medicine, 5(3), 206-213. doi: https://doi.org/10.1007/s12178-012-9126-y
Tran, A., Lee, D., Fassihi, S., Smith, E., Lee, R., & Siram, G. (2020). A systematic review of the effect of regional anesthesia on diagnosis and management of acute compartment syndrome in long bone fractures. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 46(6), 1281-1290. doi: https://doi.org/10.1007/s00068-020-01320-5
Ulmer, T. (2002). The Clinical Diagnosis of Compartment Syndrome of the Lower Leg: Are Clinical Findings Predictive of the Disorder? Journal of Orthopaedic Trauma, 16(8), 572-577. Obtenido de
https://journals.lww.com/jorthotrauma/abstract/2002/09000/the_clinical_diagnosis_of_compartment_syndrome_of.6.aspx
Walters, T., Kottke, M., Hargens, A., & Ryan, K. (2019). Noninvasive diagnostics for extremity compartment syndrome following traumatic injury: A state-of-the-art review. The journal of trauma and acute care surgery, 87(1), 59-66. doi:
https://doi.org/10.1097/TA.0000000000002284
Whitesides, T., & Heckman, M. (1996). Acute Compartment Syndrome: Update on Diagnosis and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 4(4), 209-218. doi: https://doi.org/10.5435/00124635-199607000-00005
Wiemann, J., Ueno, T., Leek, B., Yost, W., Schwartz, A., & Hargens, A. (2006). Noninvasive measurements of intramuscular pressure using pulsed phase-locked loop ultrasound for detecting compartment syndromes: a preliminary report. Journal of orthopaedic trauma, 20(7), 458-463. doi: https://doi.org/10.1097/00005131-200608000-00002
Derechos de autor 2024 José Andrés Trelles Guarnizo, Anais Elizabeth Mancheno Romero, Byron Fabián Pinos Reyes , Estefania Mayorie Vaca Guaytarilla , Jacqueline Liliana Avila Clavijo , Andrea Lizbeth Flores Ledesma
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