Table 4: Signs and symptoms.

Pain disproportionate to the apparent lesion (early and common finding)

Persistent deep aching or burning pain

Paresthesias (onset within approximately 30 minutes to 2 hours in acute compartment syndrome; suggests ischemic nerve dysfunction)

Pain with passive stretching of the muscles in the affected compartment (early finding)

Tight compartment with a firm “wooden” feel

Pallor due to vascular insufficiency (rare)

Decreased sensitivity

Muscle weakness (onset within approximately 2 to 4 hours in acute compartment syndrome)

Paralysis (late finding)

Modified from: Hammerberg EM.21