Page 179 - ASOP ROT Study Guide

that expected by the injury. There is also associated loss of function of the muscles and often
altered sensation over the compartment. Paradoxically, the pulse distal to the compartment is
normal and the examiner may be lulled into a false sense of security. A useful diagnostic test is to
stretch the muscles in the compartment, such as extending the fingers or toes. This usually

precipitates extreme pain
and is an indication to
intervene as follows:

http://www.passenlaw.com/failure-diagnose-
compartment-syndrome/

All dressings should be removed and plasters split to the skin and eased - this will not affect the
splintage properties of the plaster. If this fails then surgical intervention (opening the fascia to
decompress the compartment) is inevitable. The condition can be prevented by early elevation
of the injured limb to prevent swelling occurring, by careful attention to the padding of casts, and
by ensuring that dressings are not too tight.
10.6 Immobility
Immobility can result in a variety of problems. After injury the injured part of the body needs to be
immobilized for a short period. The whole person does not need immobilizing at any time and people
must begin to mobilize and rehabilitate as soon after injury as possible. It is vital that the injured
person understands that this is their responsibility, although they will be helped by therapists and
medical staff.
Muscle wasting, stiffness and skin sores are often combined under the term "fracture (or
sometimes plaster) disease".