Mortensen et al reported risk factors for muscle necrosis secondary to acute compartment syndrome of a lower extremity. The authors are from Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Harvard Medical Scholl and Yerevan State Medical University in Armenia.
Patient selection: acute compartment syndrome of a lower extremity
Outcome: presence of necrotic muscle at fasciotomy
Frequency of muscle necrosis in study: 14%
Risk factors for muscle necrosis:
(1) open fracture (OR 2.8)
(2) crush injury (OR 3.1)
(3) soft tissue injury other than crush or blunt trauma (electrocution, burn, infection, hemorrhage) (OR 2.8)
(4) younger age (OR 0.98)
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