Management of Compartment Syndrome in Monteggia Fracture Bado Type III: A Case Report
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Abstract
Background: Compartment syndrome is an orthopedic emergency caused by increased intra-compartmental pressure, leading to tissue oxygenation disruption and potentially resulting in tissue death. The rapid progression of this condition requires immediate diagnosis, primarily based on clinical examination results. Early management has been associated with improved outcomes and limb functionality.
Case Report: We report an 8-year-old girl who presented with complaints of pain and tingling in her left forearm since falling three weeks prior, with a history of traditional massage therapy or sangkal putung. Clinical examination revealed multiple dark red blisters, edema, and erythema. X-rays showed a Monteggia fracture. The patient was diagnosed with compartment syndrome and a Monteggia fracture and immediately underwent surgery for fasciotomy accompanied by open reduction and internal fixation (ORIF).
Conclusion: Compartment syndrome is a condition that poses risks to limbs and life. Diagnosis is primarily based on clinical examination, and immediate management can improve outcomes. Compartment syndrome should be addressed before managing any accompanying conditions.
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