Barcan Woodward
Compartment Syndrome
Compartment Syndrome involves the compression of nerves and blood vessels within a muscle compartment, leading to impaired blood flow and muscle and nerve damage. The compartments are groups of muscles surrounded by inelastic facia and thus any swelling of the muscles leaves no room for expansion and the blood supply is progressively cut off which can lead to permanent injury to the muscles and nerves. If the pressure lasts long enough the limb may die and need to be amputated.
Acute Compartment Syndrome is associated with trauma from e.g. a car accident, a crush injury or surgery. It may also occur from compression, either external (eg tight bandages or plaster cast) or internal (eg internal bleeding causing a haematoma). It is generally a medical emergency since the rapid increase in the pressure within the muscle compartment may completely cut off the blood supply to the affected limb.
It is most common to develop Compartment Syndrome in the lower leg and forearm although it can also occur in other parts of the body. Prompt diagnosis and treatment will help prevent the complications and limit any damage to the affected limb.
Symptoms
- Severe pain which does not decrease with medication or with elevation of the affected limb.
- Decreased sensation as the syndrome becomes more advanced.
- Weakness.
- Paleness of skin in the affected limb.
- The skin over the compartment will be tensely swollen and shiny.
There is also a condition called Chronic Compartment Syndrome which may be caused by exercise - an example would be shin splints.
Treatment
Severe cases may require fasciotomy surgery to improve blood flow and prevent development of a permanent disability. An incision is made in the fascia to release the pressure. The wound is generally left open for a few days and further surgery is then required to close the wound. It may be the case that a skin graft is required.
Bringing a Claim
Provided that the diagnosis of Compartment Syndrome is made quickly the prognosis for recovery of the muscles and the nerves within the compartment is good. Most claims are due to a delay in diagnosis and/or treatment once diagnosed. Time is of the essence once the condition is diagnosed as permanent nerve damage can occur after only a matter of hours.
Investigating a claim in relation to compartment syndrome is a complex process and needs the experience and skills of a specialist Clinical Negligence Solicitor. There are few such specialists in the UK today who have this experience. We at Barcan Woodward have this level of experience to help you through the process of bringing a claim.
If you would like to consider your potential claim with us please make either an on line inquiry or telephone us to discuss.
Free legal advice
Please telephone us with any questions you may have. This will not cost you anything and if we think we can help you further we can arrange, if appropriate, a free initial interview.
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