She was a housewife and lived alone, a previously heavy smoker but stopped one year prior to her presentation and drank alcohol occasionally. Past surgical history included epistaxis needing cautery, duodenal ulcer surgery and gastroscopy. The patient occasionally also used home oxygen therapy for COPD exacerbations. Her medications included spiriva18 mcg, uniphyllin 200 mg, ramipril 1.25 mg, folic acid 5 mg, amlodipine 10 mg, ipratropium 500 mcg, omeprazole 20 mg and salbutamol inhaler and she had no medication allergy. In May 2013, a 72-year-old white British lady with background of chronic obstructive pulmonary disease (COPD), hypertension, prior pulmonary embolism, oesophagitis and cataracts was admitted with a diagnosis of primary osteoarthritis for an elective right TKR. We hereby, present a case of a compartment syndrome which occurred following TKR surgery and discuss the potential factors which may have contributed to its development. When measured, an intracompartmental pressure of 30 mmHg and delta (differential) pressure of 30 mmHg or less are used as an indication for fasciotomy.ĭespite the relative scarcity in the incidence of compartment syndrome following total knee replacement (TKR), it remains an important complication which may potentially be limb as well as life threatening. A normal compartmental pressure reflects the capillary pressure of 0 to 8 mmHg. A manometer device attached to a needle is inserted into each compartment to provide a pressure reading. The increase in intracompartmental pressures can be measured using the Wick catheter technique or a handheld manometer. Paraesthesia and paralysis arise as a result of significant compartmental ischaemia, after which a full recovery becomes unlikely. These symptoms alongside palor, pulselessness, paraesthesia and paralysis are characteristic for compartment syndrome. Pain out of proportion and pain on passive stretching of the affected compartment have been described as the most reliable clinical indicators of compartment syndrome. Fractures, crush injuries, vascular injuries, prolonged tourniquet application, anticoagulation and deep-vein thrombosis have all been associated with compartment syndrome, with fractures and soft tissue injuries accounting for approximately 80% of all cases. Self-myofascial release massage performance resistance training.Compartment syndrome is a serious condition that occurs due to elevation of interstitial pressure in closed fascial compartments resulting in microvascular compromise, myoneuronal function impairment and soft tissue necrosis. These results indicate that longer duration FR-protocol may acutely increase muscle thickness of the vastus lateralis muscle without negatively affect the TLL and PTT. In addition, there was an increase on rectus femoris PPT two minutes post FR3, with no differences between conditions. There was a greater increase on VL muscle thickness after FR3 when compared to CON and FR1. A similar total training load among experimental conditions was observed. MT, PPT, and performance on multiple sets of knee extension were compared after performing passive recovery (CON), one minute (FR1), or three minutes of FR (FR3). Nine resistance-trained men (age: 24.8 ± 5.2 years height: 177 ± 7 cm total body mass 77.7 ± 6.2 kg) participated the study. The aim of the present study was to examine the effect of one and three minutes of quadriceps FR on muscle thickness (vastus lateralis and rectus femoris ), pain threshold (VL and RF), and total load lifted (TLL) on multiple sets of knee extension. However, the acute effect of FR on muscle thickness (MT) and pressure pain threshold (PPT) after multiple sets of resistance exercise remains to be elucidated. Previous studies investigated the effects of foam rolling (FR) on measurements of strength and power.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |