There was sufficient concern for impending compartment syndrome which led to fascial compartment
The anterolateral tibial compartment is the commonest site due to superficial and tight fascial compartment
At exploratory laparotomy, purulent fluid was found in the anterior fascial compartment
, with gross pus in the abdomen.
Exercise ischaemia in the medial fascial compartment
of the leg," Journal of Bone and Joint Surgery.
Compartment syndrome develops when swelling occurs within a fascial compartment
(groupings of muscles, nerves and blood vessels in the arms and legs).
The incidence of clinical compartment syndrome in snakebites is low (9% in the selected patient population with RPS), probably as most snake fangs penetrate the subcutaneous tissue rather than the muscle fascial compartment
. However, RPS should be monitored closely as it can potentially cause significant morbidity.
Studies have suggested that a delta pressure of less than 30mmHg is an indication for an urgent decompression of the fascial compartment
(Matsen & Clawson 1975, McQueen & Court-Brown 1996b).
The muscular adaptations to chronic running exercise leading to local hypertrophy, reduce the compliance of the available volume within the fascial compartment
(Hutchinson and Ireland, 1994; Tzortziou et al., 2006; Winston et al., 2004).
Additionally, it has been shown that the tibialis posterior muscle is contained within its own fascial compartment
and may be considered the "fifth" compartment of the lower leg.
The reason is anatomical spread through the retroperitoneal fascial compartment
, which extends through the posterior mediastinum to the neck.
Compartment syndrome occurs due to increased pressure within a fascial compartment
. Due to the fixed volume of these compartments, any increase in fluid within the interstitium will reduce the arteriovenous pressure gradient, ultimately resulting in reduced tissue perfusion and cell death .
The anatomical basis for this is likely the association of the axillary artery and cords of the brachial plexus in a common fascial sheath, the medial brachial fascial compartment