Assessment of normal forearm compartment pressures in a Nigerian population.

Abstract

The forearm is prone to raised compartment pressure and it is the second most common site for compartment syndrome. The normal compartment pressure of the forearm should be known and serve as a benchmark for the diagnosis of acute and chronic compartment syndrome. This study was aimed to determine the normal compartment pressures of the forearm using a digital compartment pressure monitor. This was a prospective hospital-based study of the uninjured forearm in 30 patients, who presented with closed unilateral forearm fracture at the accident and emergency department of a tertiary health care facility, between June 2012 and December 2013. Approval was sought and obtained from institutions ethical committee. An 18gauge bevelled-tip needle, attached to a Compass TM digital compartment pressure monitor made by Mirador USA, was used to measure the pressures in the compartments of the forearm. Data obtained were analysed using the Stata 12. Significance was determined at p < 0.05. The mean age was 38.3 ± 18.3 years with male-to-female ratio of 2.3:1. The pressures in the volar compartment of the forearm ranged from 1 to 8mmHg with a mean ± SD compartment pressure of 4.7 ± 1.5mmHg. In the dorsal compartment the pressure ranged from 2 to 8mmHg with a mean ± SD of 4.9 ± 1.7mmHg SD, while the lateral compartment measurement ranged between 1 and 5mmHg with a mean ± SD of 3.6 ± 1.1mmHg. There was significant positive correlation (p < 0.01) between the compartment pressures in the volar, dorsal, and lateral compartments. The normal compartment pressure for forearm is 4.4 ± 1.6mmHg and ranged from 1 to 8mmHg from this study in our environment. This will serve as reference value when forearm compartment pressure is being measured.