Table 3: Traumatic and non-traumatic causes of acute compartment syndrome. |
|
Traumatic causes |
Non-traumatic causes |
Fractures of long bones |
Intravenous fluids: fluid extravasation; massive fluid resuscitation (e.g., severe thermal burns, sepsis, etc.) |
Blunt trauma (crush injury / crush syndrome) |
Hematologic: ischemia-reperfusion injury, thrombosis, bleeding disorders, vascular disease, spontaneous hemorrhage |
Burn injuries |
Anticoagulation |
Constrictive bandages, splints, or casts |
Toxics: animal poisonings and bites; recreational drug injections |
Penetrating trauma |
Prolonged limb compression (following severe drug or alcohol intoxication; malposition during surgery) |
High-pressure injection |
Revascularization procedures (limb bypass surgery, embolectomy, thrombolysis) |
Injury to vascular structures |
Nephrotic syndrome (decreased serum osmolarity) |
Group A streptococcus infections of the muscle; systemic inflammatory response syndrome |