Compartment syndrome

Crush injury

Fracture,

Prolonged immobility

TIght splints or casts

Result in increased pressure within muscle compartments and eventually vascular occlusion.

Clinical features

Swelling

Severe pain increasing on a passive stretch of muscles

Distal numbness

Redness

Mottling/blisters.

Pulses are absent or may be present distally.

Management

Loosen any restricting bandage/cast.

Refer as an emergency to orthopedics for fasciotomy