QuestionSBA
QuestionChoice
An osteotomy is not indicated for the treatment of compartment syndrome or fractures as it involves cutting bone to shorten or lengthen it.
10001295
e
Osteotomy
QuestionChoice
This would be indicated to aid the healing of the broken bone but it is not the definitive management for compartment syndrome (which needs to be addressed imminently to prevent further complications). A plaster cast would be counterproductive in this acute situation as it would apply further compression to the leg.
10001294
d
Plaster cast
QuestionChoice
This would be indicated if she had developed further neurovascular complications and if a fasciotomy would not be able to save the leg. In addition to the pain, pallor and paraesthesia, she could develop pulselessness and paralysis of the muscle group.
10001292
b
Amputation
QuestionChoice
This is the definitive management for compartment syndrome, and a delay in performing it could result in amputation. Fasciotomy is performed by incisions being made to the appropriate leg compartment to relieve the pressure.
10001291
a
Urgent fasciotomy
QuestionChoice
Morphine is indicated for the pain but is not the definitive management for compartment syndrome.
10001293
c
Oral morphine
Concept
Chapter
2693
3903
Compartment syndrome
Topic
145
Orthopaedics
12805
A 6-year-old female presents to Accident & Emergency after falling off her bike.

On examination, she cries out in pain on passive movement of her right foot which appears pale. She also complains of tingling in her toes.

X-ray shows a closed fracture to the right distal tibia.

A diagnosis of compartment syndrome is confirmed.

Which of the following is the definitive treatment for this condition?
a