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Review and case report of idiopathic lower extremity compartment syndrome and its treatment in diabetic patients.

Abstract：

:Diabetic muscle infarction is a rare complication of diabetes mellitus. However, idiopathic compartment syndrome in the diabetic patient is even a rarer disease, which has been reported only in three cases up to date. The disease seems to occur in patients affected by type 1 diabetes mellitus with a history of poorly controlled glucose levels. MRI aids in the diagnosis by delineating the edema of the muscle. However, definitive diagnosis is made using the Stryker needle unit. Treatment is accomplished by immediate two-incision fasciotomy. We present a case where a 34 yr-old female with a long standing history of poorly controlled Type 1 diabetes mellitus presented with a painful right lower extremity and was diagnosed with compartment syndrome. In our patient, a single incision fasciotomy to release the pressure was sufficient and might be considered as an alternative and less morbid procedure in the diabetic patient with already poorly healing tissues. We conclude that the muscle infarction in these patients is from diffuse microangiopathic disease leading to muscular infarction and fluid accumulation in the cells causing a decrease in the space in the compartment in question causing compartment syndrome.

journal_name

Diabetes Metab

journal_title

Diabetes & metabolism

authors

Pamoukian VN,Rubino F,Iraci JC

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

489-92

issue

6

eissn

1262-3636

issn

1878-1780

pii

MDOI-DM-12-2000-26-6-1262-3636-101019-ART7

journal_volume

26

pub_type

杂志文章,评审

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