Syndrome of the cabins

Definition

  • muscular Ischaemia caused by an abnormal increase in pressure in a aponevrotic cabin ostéo- little or not extensible.

Synonym

  • Syndrome of Volkman: syndrome of the cabins of the front armlever caused by a fracture.
  • Attention the syndrome of Volkman is the consequence of the syndrome of the cabins.

Form

  • Acute, the typical case is the Syndrome of Volkman, syndrome of the cabins post-traumatic of the upper limb under plaster
  • Subaiguës,
  • Chroniques: in sport or in certain professions, with a intermittent Limping of effort.

Etiology

  • Fractures,
  • Plasters of fractures,
  • Sport (race on foot…)

Physiopathology

  • the vicious circle of this syndrome:
an edema appears in the muscles contained in a cabin little or not extensible,
  • the pressure increases in a pathological way in the muscles contained in the cabin,
  • the networks venous and lymphatic of return by the cabin cannot be assured any more,
  • the edema worsens.
    • the consequence: muscular ischaemia with risk of necroses.

    treatment

    • surgical urgency: Aponévrotomie of discharge: the goal is to open the aponévroses around the cabins concerned in order to break the vicious circle.
    • time of intervention: 4 hours in the acute forms.

    references

    1. University of Paris Jussieu CHU pity-Salpétrière orthopedy

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