Kompartman sendromunda BT ipuçları

Özet

Akut bacak kompartman sendromu, kapalı fasya içindeki basınç artışının kas perfüzyonunu bozduğu, zamana duyarlı bir klinik tablodur. Travma BT’sinde kas şişmesi, ödem ve intramüsküler hematom görülebilir; bu bulgular tek başına kompartman sendromu tanısını koydurmaz ve klinik değerlendirmeyle birlikte yorumlanmalıdır. Arteriyel akımın korunması sendromu dışlamaz. BT bulguları özgül olmayabileceğinden, kompartman sendromu şüphesinde klinik değerlendirme ve gerekli acil müdahale geciktirilmemelidir.

Faz ve pencere

Kontrastsız

BT incelemelerinde etkilenen kompartmanda kas ödemi, şişmesi ve intramüsküler hematom görülebilir; ancak bu bulgular tek başına kompartman sendromu tanısını koydurmaz.

BT bulguları

• Kompartman asimetrisi — etkilenen kompartmanlarda kas şişmesi ve ödem görülebilir; bu bulgular klinik değerlendirmeyle birlikte ele alınmalıdır.
• İntramüsküler hematom — kompartman sendromuna eşlik edebilir; BT anjiyografide hematomun varlığı ve aktif arteriyel kanama bulguları değerlendirilebilir.
• Kompartman sendromunda BT’de kas şişmesi ve ödem görülebilir.
• Arteriyel akımın korunmuş olması kompartman sendromunu dışlamaz; BT anjiyografide posterior kompartman ödemi ve intramüsküler hematom görülebilir.
• Travma sonrası kırıklar ve intraosseöz erişime bağlı sıvı ekstravazasyonu kompartman sendromuna yol açabilir.

Normalde

Tek taraflı belirlenen kas ödem ve şişlik gibi bulgular şüpheyi artırsa da kesin tanı için klinik muayene ve basınç ölçümü gereklidir.

Ayırıcı tanı

Rabdomiyolizde BT veya MR'de kas şişmesi ve ödem görülebilir; bu bulgular klinik ve laboratuvar verileriyle birlikte değerlendirilir.

Kas içi hematom kompartman sendromuna eşlik edebilir; bir olguda BT anjiyografide soleus hematomu aktif arteriyel kanama olmaksızın görülmüştür.

Enfeksiyöz miyozit

kas içinde ödem, sıvı koleksiyonu veya gaz görülebilir; enfeksiyon odağı ve sistemik bulgular ayırıcıdır.

Tuzaklar

• BT bulguları hafif olsa veya arteriyel akım korunsa bile akut kompartman sendromu dışlanamaz; tanı klinik değerlendirme ve kompartman basınç ölçümüne dayanır.
• Kas hipoattenüasyonu kontüzyon ve rabdomiyolizde de görülür; tek başına bu bulguyu kompartman sendromu olarak adlandırma.
• Distal nabızların ve arteriyel akımın korunması akut kompartman sendromunu dışlamaz.
• Kompartman sendromu şüphesinde BT’nin tanısal katkısı sınırlıdır; tanı kas basıncı ölçümüyle doğrulanmalıdır.

Kendini dene

1. Travma sonrası BT anjiyografide posterior kompartman ödemi ve soleus hematomu görülebilir. BT’nin bu bulgularla rolü nedir?

   • Şüpheyi destekler
   • Basıncı kesin ölçer
   • Sendromu dışlar
   • Fasya sağlamlığını kanıtlar
   Cevabı göster

   Şüpheyi destekler. Bir olguda BT anjiyografide posterior kompartmanlarda diffüz ödem ve soleus hematomu görülmüş, aktif arteriyel kanama saptanmamıştır; görüntüleme bulguları klinik değerlendirmeyle birlikte ele alınmalıdır. BT’de kas ödemi ve şişmesi görülebilir; ancak görüntüleme bulguları tek başına tanı koydurmaz ve klinik tabloyla birlikte değerlendirilmelidir.

2. Bacak travmasında distal nabızlar alınabiliyor. Bu bulgu akut kompartman sendromunu nasıl etkiler?

   • Dışlamaz
   • Kesinleştirir
   • Kas nekrozunu kanıtlar
   • Hematoma eşdeğerdir
   Cevabı göster

   Dışlamaz. Periferik nabızların ve arteriyel akımın korunması akut kompartman sendromunu dışlamaz. Korunmuş periferik nabızlar ve arteriyel akım kompartman sendromunu dışlamaz.

İlgili konular

• Diz lipohemartrozu
• Tibia platosu posterior shear/kolon kırığı
• Segond avulsiyon kırığı

Kaynaklar

Bu sayfadaki 31 cümle ve 2 quiz sorusu aşağıdaki kaynaklardan alıntılarla otomatik olarak karşılaştırıldı; 24 cümle bu karşılaştırmada düzeltildi (2026-10-09).

1. Zygomatic Sialadenitis as a Rare Cause of Exophthalmos in a Dogpmc.ncbi.nlm.nih.gov
2. Spontaneous Rectus Sheath Hematoma Mimicking Bladder Tamponade: A Case Reportpmc.ncbi.nlm.nih.gov
3. Pulmonary artery dissection with patent ductus arteriosus presenting with differential cyanosis: a case report and review of literaturepmc.ncbi.nlm.nih.gov
4. Lumbar Plexus Disorders Presenting as Low Back Pain: A Narrative Review of a Practical Diagnostic Imaging Approachpmc.ncbi.nlm.nih.gov
5. Time Is Aorta: Can Artificial Intelligence Improve Surgical Timelines in Acute Type A Aortic Dissection? A Comprehensive Reviewpmc.ncbi.nlm.nih.gov
6. A Novel Preclinical Rat Model of Acute Compartment Syndrome.pubmed.ncbi.nlm.nih.gov
7. Acute, chronic, and non-fracture-related compartment syndrome in children. A current concepts review.pubmed.ncbi.nlm.nih.gov
8. Upper-Limb Compartment Syndrome Following Rapid Infusion Catheter Extravasation During Orthotopic Liver Transplantation: A Case Report.pubmed.ncbi.nlm.nih.gov
9. Pulmonary artery dissection with patent ductus arteriosus presenting with differential cyanosis: a case report and review of literature.pubmed.ncbi.nlm.nih.gov
10. Time Is Aorta: Can Artificial Intelligence Improve Surgical Timelines in Acute Type A Aortic Dissection? A Comprehensive Review.pubmed.ncbi.nlm.nih.gov
11. Spontaneous Rectus Sheath Hematoma Mimicking Bladder Tamponade: A Case Report.pubmed.ncbi.nlm.nih.gov
12. Contrast-enhanced ultrasound in critical care: a problem-solving approach.pubmed.ncbi.nlm.nih.gov
13. Acute Necrotizing Pancreatitis Presenting With Extensive Unilateral Lower Limb Myositis, Fasciitis, and Sterile Reactive Knee Synovitis: A Rare Extra-pancreatic Manifestation.pubmed.ncbi.nlm.nih.gov
14. Imaging for Pediatric Head and Neck Emergencies: Critical Insights.pubmed.ncbi.nlm.nih.gov
15. Gluteal compartment syndrome following prolonged immobilization in the setting of polysubstance use: A two-patient case series.pubmed.ncbi.nlm.nih.gov
16. Delayed Diagnosis to Definitive Treatment: Diagnostic Delay and Outcomes After Endoscopic-Assisted Fasciotomy for Chronic Exertional Compartment Syndrome.pubmed.ncbi.nlm.nih.gov
17. Brachial Artery Entrapment Due to Supracondylar Humerus Fracture-Two Case Reports.pubmed.ncbi.nlm.nih.gov
18. Musculoskeletal ultrasound in the emergency department: a narrative review for general radiologists.pubmed.ncbi.nlm.nih.gov
19. Investigating Osteomyelitis as a Rare Adverse Effect of Vaccination in the Pediatric Population.pubmed.ncbi.nlm.nih.gov
20. Diagnostic Approach to Lower Limb Entrapment Neuropathies: A Narrative Literature Review.pubmed.ncbi.nlm.nih.gov
21. Trauma-related retrobulbar hematoma: predictive risk factors and clinical outcome in 52 cases.pubmed.ncbi.nlm.nih.gov
22. Accuracy of automated segmentation of gluteus and paraspinal muscles in patients with hip osteoarthritis using TotalSegmentator in 3Dslicer.pubmed.ncbi.nlm.nih.gov
23. A novel preoperative simulation approach for pediatric kidney transplantation to support donor-recipient size matching using dialysis fluid-enhanced CT imaging and 3D printing.pubmed.ncbi.nlm.nih.gov
24. Hematogenous Seeding of Traumatized Muscle by Fusobacterium necrophorum: Delayed Compartment Syndrome Following a Sports Injury.pubmed.ncbi.nlm.nih.gov
25. Zygomatic Sialadenitis as a Rare Cause of Exophthalmos in a Dog.pubmed.ncbi.nlm.nih.gov
26. Cocaine and ketamine-induced paraspinal muscle compartment syndrome.pubmed.ncbi.nlm.nih.gov
27. Fulminant cerebral fat embolism syndrome initially sparing the lungs after long-bone fractures: a case report of refractory status epilepticus.pubmed.ncbi.nlm.nih.gov
28. Progress in the Diagnostic and Predictive Evaluation of Crush Syndrome.pubmed.ncbi.nlm.nih.gov
29. Acute Compartment Syndrome Following Repeated Calf Kicks in an Elite-Level Kickboxing Athlete: A Case Report of a Rare Non-Fracture-Related Complication.pubmed.ncbi.nlm.nih.gov
30. Spontaneous Triceps Haematoma Presenting With Ulnar Neuropathy: A Report of a Rare Case.pubmed.ncbi.nlm.nih.gov
31. Combined Post-traumatic Pseudoaneurysms of the Superior Gluteal and Aberrant Obturator Arteries: A Case Report.pubmed.ncbi.nlm.nih.gov
32. Intramuscular hemorrhage and fluid extravasation into the anterior compartment secondary to intraosseous resuscitation, the "Nicked-Cortex" sign.pubmed.ncbi.nlm.nih.gov
33. A Rare Case of Motor Neuropathy Secondary to Non-Hodgkin Lymphoma.pubmed.ncbi.nlm.nih.gov
34. Current Evidence on the Management of Non-occlusive Mesenteric Ischemia: A Comprehensive Narrative Review.pubmed.ncbi.nlm.nih.gov
35. Successful Treatment of Phlegmasia Cerulea Dolens by Surgical Thrombectomy: A Case Report.pubmed.ncbi.nlm.nih.gov
36. Simultaneous Bilateral Tibial Tubercle Avulsion Fractures Complicated by Compartment Syndrome in an Adolescent With Osteogenesis Imperfecta: A Case Report.pubmed.ncbi.nlm.nih.gov
37. Severe medial tibial plateau fractures: feasibility and functional and radiographic results of an extended approach with medial femoral epicondyle osteotomy.pubmed.ncbi.nlm.nih.gov
38. A Systematic Approach to the Evaluation of Acute Musculoskeletal Injuries in the Emergency Department.pubmed.ncbi.nlm.nih.gov
39. Anatomy and Pathology of Anterior and Lateral Hip Compartments Bursae: An Ultrasound Structured Approach in Sports Medicine.pubmed.ncbi.nlm.nih.gov
40. Lumbar Plexus Disorders Presenting as Low Back Pain: A Narrative Review of a Practical Diagnostic Imaging Approach.pubmed.ncbi.nlm.nih.gov
41. Atraumatic intraneural heterotopic ossification of the common peroneal nerve: illustrative case.pubmed.ncbi.nlm.nih.gov
42. Morphology and Morphometric Analysis of the Psoas Minor Muscle in Adult Human Cadavers at a Tertiary-Care Institution in Western India.pubmed.ncbi.nlm.nih.gov
43. Fibromatosis Colli Presenting as a Left-Sided Cervical Mass: A Case Report.pubmed.ncbi.nlm.nih.gov
44. Sinonasal osteosarcoma of the ethmoid bone with decade-later recurrence presenting as early orbital apex syndrome: an 18-year case report.pubmed.ncbi.nlm.nih.gov
45. World Trade Center related acute traumatic injuries and musculoskeletal disorders: Clinical best practices.pubmed.ncbi.nlm.nih.gov
46. Revisiting Myositis Ossificans: A Comprehensive Stage-by-Stage Imaging Review.pubmed.ncbi.nlm.nih.gov
47. ESTES recommendations regarding distal radius fractures.pubmed.ncbi.nlm.nih.gov
48. Neurological Presentations of Endemic Tropical Diseases in Central Europe.pubmed.ncbi.nlm.nih.gov
49. Neuronal desertification after a direct lightning strike: a case report.pubmed.ncbi.nlm.nih.gov
50. Iliopsoas Abscess as the Initial Manifestation of Periprosthetic Hip Joint Infection after Total Hip Arthroplasty: A Case Report and Literature Review.pubmed.ncbi.nlm.nih.gov
51. Limb Salvage Through Endovascular Repair of an Iatrogenic Superficial Femoral Artery Pseudoaneurysm Following Femoral Fracture Fixation.pubmed.ncbi.nlm.nih.gov
52. Review of Bleeding as Initial Presentation in Patients with Chronic Myeloid Leukemia.pubmed.ncbi.nlm.nih.gov
53. Differential causes of masticatory muscle disorders in dogs: a review of diagnosis, treatment and long-term management.pubmed.ncbi.nlm.nih.gov
54. A new hope with CAR T-cell therapy for refractory idiopathic inflammatory myopathies: a systematic review.pubmed.ncbi.nlm.nih.gov
55. Pediatric orbital IgG4-related disease: A case series.pubmed.ncbi.nlm.nih.gov
56. Phlegmasia Cerulea Dolens and Pulmonary Embolism in a Patient With NSCLC Receiving Dual EGFR/MET Targeted Therapy: A Case Report.pubmed.ncbi.nlm.nih.gov
57. Case report: morbid obesity and lithotomy positioning: a high-risk triad with GCS leading to severe rhabdomyolysis with impending acute compartment syndrome following ovarian cancer cytoreduction.pubmed.ncbi.nlm.nih.gov
58. Spontaneous Bacterial Peritonitis as a Rare Complication of a Pancreatic Duct Leak in a Patient Without Cirrhosis: A Case Report.pubmed.ncbi.nlm.nih.gov
59. Case Report: Early documented infected pancreatic necrosis due to carbapenem-resistant <i>Acinetobacter baumannii</i> and concurrent <i>Enterococcus faecium</i> bacteremia: a salvage regimen with sulbactam-durlobactam and tigecycline.pubmed.ncbi.nlm.nih.gov
60. Acute compartment syndrome due to skeletal muscle metastases from poorly differentiated upper gastrointestinal adenocarcinoma: a case report.pubmed.ncbi.nlm.nih.gov
61. Bacterial Granulomatous Lung Diseases: Radiological Findings and Differential Diagnosis.pubmed.ncbi.nlm.nih.gov
62. Neuroimaging for neurovascular complications of traumatic brain injury.pubmed.ncbi.nlm.nih.gov
63. Axillary Artery Injury in Proximal Humeral Fractures: Displacement Medial to the Coracoid on X-ray as a Risk Sign of Vascular Injury.pubmed.ncbi.nlm.nih.gov
64. The Geometry of Circulatory Shock: A Conceptual Multi-Scale Lagrangian Framework for Physiology-Informed Hemodynamic Phenotyping.pubmed.ncbi.nlm.nih.gov
65. Beyond Standard Parameters: Precision Hemodynamic Monitoring in Patients on Veno-Arterial ECMO.pubmed.ncbi.nlm.nih.gov
66. Well-leg compartment syndrome after orthopedic surgery in the hemi-lithotomy position: a three-case series and literature review.pubmed.ncbi.nlm.nih.gov
67. Late-Onset Development of Compartment Syndrome Following Penetrating Extremity Trauma With Vascular Injury: A Case Report.pubmed.ncbi.nlm.nih.gov
68. Acute Exertional Lateral Compartment Syndrome: A Diagnostic Challenge Presenting With Peroneal Nerve Palsy and Myoglobin-Mediated Acute Kidney Injury-A Case Report.pubmed.ncbi.nlm.nih.gov
69. Spinal extradural meningeal cysts: Long-term outcomes of a dural defect-oriented surgical strategy.pubmed.ncbi.nlm.nih.gov
70. Advanced Visualization of Peroneal Artery Perforators Prior to Autologous Transplantation in Head and Neck Surgery by Dual-Energy CTA and Semiautomatic Vessel Unfolding.pubmed.ncbi.nlm.nih.gov
71. A systematic review on imaging and diagnostic modalities for the detection, evaluation, and surgical planning of upper and lower extremity lymphedema.pubmed.ncbi.nlm.nih.gov
72. Anatomically Precise Microsurgical Resection of a Posterior Fossa Cerebellar Metastasis in an Elderly Patient with Preservation of Venous Outflow, Dentate Nucleus, and Cerebrospinal Fluid Pathways.pubmed.ncbi.nlm.nih.gov
73. Middle cerebral artery dissection: pathophysiology, diagnosis, and therapeutic options.pubmed.ncbi.nlm.nih.gov
74. Questions and Certainty in Diagnosis and Management of Acute Type B Aortic Dissection.pubmed.ncbi.nlm.nih.gov
75. Patient-engaged preoperative optimization for a complex incisional hernia: a case report.pubmed.ncbi.nlm.nih.gov
76. Fibrolipoma of the Buccal Space in a 47-Year-Old Male: A Case Report.pubmed.ncbi.nlm.nih.gov
77. The evolving landscape of minimally invasive procedures in musculoskeletal diseases-Part II.pubmed.ncbi.nlm.nih.gov
78. Update on sports imaging.pubmed.ncbi.nlm.nih.gov
79. Retrospective Cohort Study of Frequency and Patterns of Orbital Injuries on Whole-Body CT with Maxillofacial Multi-Slice CT.pubmed.ncbi.nlm.nih.gov
80. Severe upper limb soft tissue infection with compartment syndrome following a scratch injury: a case report.pubmed.ncbi.nlm.nih.gov
81. Critical Care Management of Severe Acute Pancreatitis: Current Concepts, Clinical Challenges, and Future Perspectives.pubmed.ncbi.nlm.nih.gov
82. Multimodal Monitoring in Eclamptic Intracerebral Hemorrhage Complicated by Reversible Cerebral Vasoconstriction Syndrome (RCVS): A Case Report.pubmed.ncbi.nlm.nih.gov
83. Thoracic Packing Failure due to Occult Diaphragmatic Injury after Empyema Surgery.pubmed.ncbi.nlm.nih.gov
84. Acute Forearm Compartment Syndrome Following Physical Therapy in a Patient Receiving Anticoagulation Therapy: A Case Report.pubmed.ncbi.nlm.nih.gov
85. Early Presentation of Acute Digital Ischemia After Intra-Arterial Injection Drug Use.pubmed.ncbi.nlm.nih.gov
86. Phlegmasia cerulea dolens with venous-induced arterial inflow compromise successfully treated by single-session pharmacomechanical thrombectomy: A case report.pubmed.ncbi.nlm.nih.gov
87. Retrospective surgical outcomes of Gartland type III supracondylar humeral fractures with absent pulse in children.pubmed.ncbi.nlm.nih.gov
88. Femoro-popliteal bypass with arterial perfusion cannula coupling of the VA-ECMO system to the prosthetic anastomosis in critical limb ischemia secondary to veno-arterial extracorporeal membrane oxygenation: a case report.pubmed.ncbi.nlm.nih.gov
89. Low-Grade Myxofibrosarcoma of the Leg Presenting as a Pathological Pilon Fracture: A Case Report.pubmed.ncbi.nlm.nih.gov
90. Concomitant Hydatid Disease of the Lower Extremity and Retroperitoneum: A Case Report of Two Rare Locations.pubmed.ncbi.nlm.nih.gov
91. A systematic scoping review and conceptual analysis of new-onset fibromyalgia manifestations after non-hospitalized COVID-19: empirics, definitions, methodologies, pathophysiology, mapping of literature, and knowledge gaps.pubmed.ncbi.nlm.nih.gov
92. Suspected Acute Stanford Type A Aortic Dissection: A Case Report.pubmed.ncbi.nlm.nih.gov
93. Lung Imaging in Acute Hypoxemic Respiratory Failure: From Physics to Bedside Applications.pubmed.ncbi.nlm.nih.gov
94. Rare Case of Necrotizing Fasciitis With Polyarteritis Nodosa in a Multi-Comorbid Patient.pubmed.ncbi.nlm.nih.gov
95. Chronic Subdural Hematoma: Pathophysiology, Diagnosis, and the Emerging Role of Middle Meningeal Artery Embolization.pubmed.ncbi.nlm.nih.gov
96. Modern management of maxillofacial trauma in the emergency department.pubmed.ncbi.nlm.nih.gov
97. Augmentation Mastopexy With Polyurethane-Coated Implants in the Prepectoral Plane: A 24-Month Follow-Up Study.pubmed.ncbi.nlm.nih.gov
98. The inframammary fold: Structure, clinical considerations, and reconstructive techniques.pubmed.ncbi.nlm.nih.gov
99. Comprehensive review of post-treatment imaging in head and neck cancers: from expected to unexpected and beyond.pubmed.ncbi.nlm.nih.gov
100. Similarities in the Electrographic Patterns of Delayed Cerebral Infarction and Brain Death After Aneurysmal and Traumatic Subarachnoid Hemorrhage.pubmed.ncbi.nlm.nih.gov
101. An Unusual Presentation of Fentanyl-Induced Rhabdomyolysis.pubmed.ncbi.nlm.nih.gov
102. Progressive multifocal leukoencephalopathy in an untreated chronic lymphocytic leukemia patient: Case report and review of the literature.pubmed.ncbi.nlm.nih.gov
103. Early medical care and trauma management in mass casualties from major explosive accidents: a retrospective analysis and recommendations.pubmed.ncbi.nlm.nih.gov
104. Magnetic Resonance Imaging Biomarkers of Muscle.pubmed.ncbi.nlm.nih.gov
105. MRI nomenclature for musculoskeletal infection.pubmed.ncbi.nlm.nih.gov
106. Can we rebuild what has been taken? A narrative review of biological and functional consequences of hamstring tendon harvest in ACL surgery.pubmed.ncbi.nlm.nih.gov
107. Insertional Achilles Tendinopathy with Haglund's Deformity: A Progressive Approach to Post-Operative Rehabilitation in Athletes.pubmed.ncbi.nlm.nih.gov
108. Methodological standards for body composition assessment-an expert-endorsed guide for research and clinical applications: bioimpedance, dual-energy X-ray absorptiometry, computerized tomography, and ultrasound methods.pubmed.ncbi.nlm.nih.gov
109. Compression Syndromes of the Stylohyoid Complex: Neural, Arterial, and Venous Phenotypes in a Dynamic Neurovascular Corridor.pubmed.ncbi.nlm.nih.gov
110. Non-Arteritic Anterior Ischemic Optic Neuropathy (NA-AION) and High-Risk Cardiovascular Events.pubmed.ncbi.nlm.nih.gov
111. Predictive value of a preoperative computed tomography-derived perifracture soft-tissue envelope index for fracture-related infection after open reduction and internal fixation of tibial plateau fractures.pubmed.ncbi.nlm.nih.gov
112. Ultrasound Imaging in Diagnosis and Management of Lower Limb Injuries: A Comprehensive Review.pubmed.ncbi.nlm.nih.gov
113. Skeletal Muscle Disease: Imaging Findings Simplified.pubmed.ncbi.nlm.nih.gov
114. A Mechanistic and Pathophysiological Approach for Stroke Associated with Drugs of Abuse.pubmed.ncbi.nlm.nih.gov
115. CT of Soft Tissue Infections: Current and Future Perspectives from Diagnosis to Treatment.pubmed.ncbi.nlm.nih.gov

Eğitim amaçlıdır; hasta başında tanı ve tedavi kararının yerine geçmez, tıbbi tavsiye değildir. Metinler yapay zekâ desteğiyle yazıldı ve otomatik bir adımda kaynak alıntılarıyla karşılaştırıldı; bu bir tıbbi doğrulama değildir ve içerik uzman radyolog incelemesinden geçmedi. Klinik kararlarda güncel kılavuzları, kurum protokollerini ve radyoloji raporunu esas alın.