CMSA Higher Diploma In Orthopaedics Practice Questions - Higher Diploma In Orthopaedics Of The College Of Orthopaedic Surgeons Of South Africa [H Dip Orth(SA)] Exam

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A 30-year-old trauma patient with a closed tibial shaft fracture develops severe leg pain out of proportion to physical findings, exacerbated by passive stretch of the great toe. Diastolic blood pressure is 75 mmHg and intracompartmental pressure of the anterior compartment is measured at 50 mmHg. What is the delta pressure (ΔP) and what action is indicated?

ΔP is 25 mmHg; immediate emergency two-incision four-compartment fasciotomy ΔP is 125 mmHg; non-operative observation with limb elevation ΔP is 25 mmHg; high-dose intravenous steroids and hyperbaric oxygen ΔP is 50 mmHg; immediate closed reduction and tight cast immobilization

Correct Answer:

ΔP is 25 mmHg; immediate emergency two-incision four-compartment fasciotomy

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