{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:11:34Z","timestamp":1761059494251},"reference-count":17,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Compartment syndrome of the foot is a rare complication of injury to the foot. Treatment by decompression of the compartments is debatable. The debate surrounding decompression stems from the rarity of the condition, the lack of consensus regarding the anatomy of the foot compartments and whether to accept the inevitable contractures by not decompressing. The aim of this paper is two fold; firstly to sample current military orthopaedic experience and secondly establish if there exists a consensus of opinion in how and if to perform fasciotomy of the foot thereby providing guidance to other clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A questionnaire was sent to 10 DMS orthopaedic consultants to identify their experience with foot compartment syndrome and performing foot fasciotomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five had performed a foot fasciotomy (average 2, range 1-6) over an average of 6.2 years as consultant and an average of 7.3 months deployed. Most commonly two dorsal and a medial incision were used to decompress the foot. One surgeon advocated not decompressing the foot and accepting the subsequent contractures,<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DMS clinicians need to remain vigilant to compartment syndrome of the foot and especially in cases of crush or blast injury or of multiple fractures. If diagnosed or even if an impending compartment syndrome is suspected then, in line with the current weight of expert opinion, the foot should be decompressed and the deployed orthopaedic surgeon should be capable of performing it. Evidence concerning their battlefield use is limited. Extensive UK military trials are ongoing and the results of which are expected to clarify questions regarding complication rate and efficacy.<\/jats:p><\/jats:sec>","DOI":"10.1136\/jramc-156-04-07","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T23:43:32Z","timestamp":1363736612000},"page":"241-244","source":"Crossref","is-referenced-by-count":10,"title":["Compartment Syndrome of the Foot \u2013 Implications for Military Surgeons"],"prefix":"10.1136","volume":"156","author":[{"given":"Simon","family":"Middleton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Clasper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,12,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/1460408608099028","article-title":"Acute traumatic compartment syndrome: a systematic review of results of fasciotomy","volume":"11","author":"Hayakawa, H.; Aldington, D.J.; Moore, R.A.","year":"2009","unstructured":"Hayakawa H, Aldington DJ, Moore RA. Acute traumatic compartment syndrome: a systematic review of results of fasciotomy. Trauma. 2009; 11: 5-35","journal-title":"Trauma"},{"key":"ref_2","first-page":"191","article-title":"Reconstruction of the foot after leg or foot compartment syndrome. Foot and Ankle Clinics","volume":"11","author":"Perry, M.; Manoli, A.","year":"2006","unstructured":"Perry M, Manoli A. Reconstruction of the foot after leg or foot compartment syndrome. Foot and Ankle Clinics. 2006; 11: 191-201"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00005131-199206000-00015","article-title":"Acute foot compartment syndromes","volume":"6","author":"Fakhouri, A.J.; Manoli, A.","year":"1992","unstructured":"Fakhouri AJ, Manoli A. Acute foot compartment syndromes. J Orthop Trauma. 1992; 6: 223-228","journal-title":"J Orthop Trauma"},{"key":"ref_4","first-page":"239","article-title":"Management of compartment syndromes of the foot","volume":"271","author":"Myerson, M.S.","unstructured":"Myerson MS. Management of compartment syndromes of the foot. Clin Orthop.1991; 271: 239-248","journal-title":"Clin Orthop.1991"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.fas.2006.02.004","article-title":"Etiology, treatment and long-term results of isolated midfoot fractures","volume":"12","author":"Frink, M.; Geerling, J.; Hildebrand, F.","year":"2006","unstructured":"Frink M, Geerling J, Hildebrand F et al. Etiology, treatment and long-term results of isolated midfoot fractures. Foot Ankle Surg. 2006; 12: 121-125","journal-title":"Foot Ankle Surg"},{"key":"ref_6","first-page":"142","article-title":"Compartment Syndromes of the Foot After Calcaneal Fractures","volume":"290","author":"Myerson, M.; Manoli, A.","year":"1993","unstructured":"Myerson M, Manoli A. Compartment Syndromes of the Foot After Calcaneal Fractures. Current Orthopaedic practice. 1993; 290: 142-150","journal-title":"Current Orthopaedic practice"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s002689900224","article-title":"Complications and Nonclosure Rates of Fasciotomy for Trauma and Related Risk Factors","volume":"21","author":"Velmahos, G.C.; Theodorou, D.; Demetriades, D.","year":"1997","unstructured":"Velmahos GC, Theodorou D, Demetriades D et al. Complications and Nonclosure Rates of Fasciotomy for Trauma and Related Risk Factors. World J Surg. 1997; 21: 247-253","journal-title":"World J Surg"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00068-008-7163-4","article-title":"Reconstructive surgery after compartment syndrome of the lower leg and foot","volume":"34","author":"Rammelt, S.; Zwipp, H.","year":"2008","unstructured":"Rammelt S, Zwipp H. Reconstructive surgery after compartment syndrome of the lower leg and foot. Eur J Trauma Emerg surg. 2008; 34: 237-48","journal-title":"Eur J Trauma Emerg surg"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/TA.0b013e3181607750","article-title":"Complications after fasciotomy revision and delayed compartment release in combat patients","volume":"64","author":"Ritenour, A.E.; Dorlac, W.C.; Fang, R.","year":"2008","unstructured":"Ritenour AE, Dorlac WC, Fang R et al. Complications after fasciotomy revision and delayed compartment release in combat patients. J Trauma. 2008; 64: S153-S162","journal-title":"J Trauma"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0030-5898(05)70197-8","article-title":"Foot compartment syndrome","volume":"32","author":"Perry, M.D.; Manoli, A.","year":"2001","unstructured":"Perry MD, Manoli A. Foot compartment syndrome. Orthop clin North Am. 2001; 32: 103-111","journal-title":"Orthop clin North Am"},{"key":"ref_11","first-page":"180","article-title":"Review: Acute compartment syndrome of the foot. Foot Ankle Int","volume":"24","author":"Fulkerson, E.; Afshin, R.; Nirmal, T.","year":"2003","unstructured":"Fulkerson E, Afshin R, Nirmal T. Review: Acute compartment syndrome of the foot. Foot Ankle Int. 2003; 24: 180-7"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1002\/ca.1031","article-title":"Compartment syndrome of the foot","volume":"14","author":"Andermahr, J.; Helling, H.J.; Tsironis, K.","year":"2001","unstructured":"Andermahr J, Helling HJ, Tsironis K et al. Compartment syndrome of the foot. Clin Anat. 2001; 14: 184-189","journal-title":"Clin Anat"},{"key":"ref_13","first-page":"267","article-title":"Fasciotomy of the foot: An anatomical study with special reference to release of the calcaneal compartment. Foot Ankle Int","volume":"10","author":"Manoli, A.; Webber, T.G.","year":"1990","unstructured":"Manoli A, Webber TG. Fasciotomy of the foot: An anatomical study with special reference to release of the calcaneal compartment. Foot Ankle Int. 1990; 10: 267-275"},{"key":"ref_14","first-page":"1114","article-title":"The myofascial compartments of the foot","volume":"90","author":"Ling, Z.X.; Kumar, V.P.","year":"2008","unstructured":"Ling ZX, Kumar VP. The myofascial compartments of the foot. JBJS (Br). 2008; 90: 1114-1118","journal-title":"JBJS (Br)"},{"key":"ref_15","first-page":"584","article-title":"The compartments of the foot: a 3-tesla magnetic resonance imaging study with clinical correlates for needle pressure testing. Foot Ankle Int","volume":"28","author":"Reach, J.S.; Amrami, K.K.; Felmlee, J.P.","year":"2007","unstructured":"Reach JS, Amrami KK, Felmlee JP et al. The compartments of the foot: a 3-tesla magnetic resonance imaging study with clinical correlates for needle pressure testing. Foot Ankle Int. 2007; 28: 584-94"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.fcl.2008.08.003","article-title":"Salvage of compartment syndrome of the leg and foot","volume":"13","year":"2008","unstructured":"Brey JMB, Castro MD. Salvage of compartment syndrome of the leg and foot. Foot Ankle Clin. 2008; 13: 767-772","journal-title":"Foot Ankle Clin"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/00005373-199603000-00002","article-title":"Lower limb compartment syndrome: Course after delayed fasciotomy","volume":"40","author":"Finklestein, J.A.; Hunter, G.A.; Hu, R.W.","year":"1996","unstructured":"Finklestein JA, Hunter GA, Hu RW. Lower limb compartment syndrome: Course after delayed fasciotomy. J Trauma. 1996; 40: 342-344","journal-title":"J Trauma"}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-156-04-07","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T05:32:47Z","timestamp":1716183167000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-156-04-07"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12]]},"references-count":17,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2010,12,1]]},"published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1136\/jramc-156-04-07"],"URL":"https:\/\/doi.org\/10.1136\/jramc-156-04-07","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"value":"0035-8665","type":"print"},{"value":"2052-0468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12]]}}}