"Compartment Syndrome Secondary to Knee Lipohemarthrosis" by Madeleine E. Kim, Thor S. Stead et al.
 

Compartment Syndrome Secondary to Knee Lipohemarthrosis

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

8-6-2021

Keywords

lipohemarthrosis, tibial fracture, compartment syndrome, fat-fluid level, fibular fracture, intra-articular fracture, compartment pressure

Disciplines

Cardiovascular Diseases | Emergency Medicine | Musculoskeletal Diseases | Trauma

Abstract

When treating patients presenting with knee trauma or intra-articular fracture, clinicians should maintain a high index of suspicion for lipohemarthrosis. Diagnosis of lipohemarthrosis can be accomplished via visualization of a fat-fluid level. Increased fluid and pressure build-up within the joint space may lead to compartment syndrome, which requires emergency compartment fasciotomy. In this paper, we discuss the importance of identifying lipohemarthrosis in patients presenting with intra-articular fracture, as well as the necessity of frequent patient re-evaluations in order to monitor the onset of compartment syndrome.

Publisher or Conference

Cureus

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