Cargando…
Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration
We report the case of an 81-year-old female who developed an upper arm anterior compartment syndrome from the mass effect caused by an infiltrated intravenous access catheter. The patient’s anterior compartment became tense and uncompressible, and the patient developed radial nerve palsy. A fascioto...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282358/ https://www.ncbi.nlm.nih.gov/pubmed/34277262 http://dx.doi.org/10.7759/cureus.15671 |
_version_ | 1783722994978258944 |
---|---|
author | Tawfik, Amr Hozack, Bryan Melendez, Justin Varghese, Bobby Katt, Brian M Beredjiklian, Pedro Nakashian, Michael |
author_facet | Tawfik, Amr Hozack, Bryan Melendez, Justin Varghese, Bobby Katt, Brian M Beredjiklian, Pedro Nakashian, Michael |
author_sort | Tawfik, Amr |
collection | PubMed |
description | We report the case of an 81-year-old female who developed an upper arm anterior compartment syndrome from the mass effect caused by an infiltrated intravenous access catheter. The patient’s anterior compartment became tense and uncompressible, and the patient developed radial nerve palsy. A fasciotomy was performed, resulting in the evacuation of 100 mL of fluid. Over the course of the patient’s follow-up, motor and sensory function slowly returned. In atraumatic patients with intravenous access, the development of a tense compartment with developing nerve palsies should warrant workup for possible compartment syndrome due to mass effect. If treated promptly with fasciotomy, the complications of this limb-threatening condition can be minimized or possibly reversed. |
format | Online Article Text |
id | pubmed-8282358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-82823582021-07-16 Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration Tawfik, Amr Hozack, Bryan Melendez, Justin Varghese, Bobby Katt, Brian M Beredjiklian, Pedro Nakashian, Michael Cureus Orthopedics We report the case of an 81-year-old female who developed an upper arm anterior compartment syndrome from the mass effect caused by an infiltrated intravenous access catheter. The patient’s anterior compartment became tense and uncompressible, and the patient developed radial nerve palsy. A fasciotomy was performed, resulting in the evacuation of 100 mL of fluid. Over the course of the patient’s follow-up, motor and sensory function slowly returned. In atraumatic patients with intravenous access, the development of a tense compartment with developing nerve palsies should warrant workup for possible compartment syndrome due to mass effect. If treated promptly with fasciotomy, the complications of this limb-threatening condition can be minimized or possibly reversed. Cureus 2021-06-15 /pmc/articles/PMC8282358/ /pubmed/34277262 http://dx.doi.org/10.7759/cureus.15671 Text en Copyright © 2021, Tawfik et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Tawfik, Amr Hozack, Bryan Melendez, Justin Varghese, Bobby Katt, Brian M Beredjiklian, Pedro Nakashian, Michael Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title | Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title_full | Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title_fullStr | Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title_full_unstemmed | Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title_short | Impending Upper Arm Compartment Syndrome Secondary to Intravenous Fluid Infiltration |
title_sort | impending upper arm compartment syndrome secondary to intravenous fluid infiltration |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282358/ https://www.ncbi.nlm.nih.gov/pubmed/34277262 http://dx.doi.org/10.7759/cureus.15671 |
work_keys_str_mv | AT tawfikamr impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT hozackbryan impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT melendezjustin impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT varghesebobby impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT kattbrianm impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT beredjiklianpedro impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration AT nakashianmichael impendingupperarmcompartmentsyndromesecondarytointravenousfluidinfiltration |