Measuring Compartment Pressure

Playlist: Ortho46 Videos

Free Episode
  1. 01:48

    Trigger Point Injection

    Uploaded May 2023

  2. 02:09

    Ganglion Cyst Aspiration and Injection

    Uploaded March 2023

  3. 03:06

    Digital Nerve Block Techniques

    Uploaded February 2023

  4. 01:53

    Elson and Modified Elson Tests for Central Slip Injury

    Uploaded January 2023

  5. 03:15

    Finger Reduction

    Uploaded January 2023

  6. 01:35

    Examining the Flexor Digitorum Tendons

    Uploaded January 2023

  7. 01:23

    Jaw Reduction by Wrist Pivot Maneuver

    Uploaded December 2022

  8. 02:39

    Ankle Arthrocentesis

    Uploaded December 2022

  9. 01:54

    Aspiration of Olecranon Bursitis

    Uploaded October 2022

  10. 01:06

    Reduction of a Lateral Patellar Dislocation

    Uploaded October 2022

  11. 01:36

    Shoulder Reduction by External Rotation

    Uploaded September 2022

  12. 05:16

    Posterior Tibial Nerve Block

    Uploaded July 2022

  13. 01:21

    Reduction of Elbow Dislocation

    Uploaded May 2022

  14. 01:15

    Removal of a Staple Gun Staple

    Uploaded June 2021

  15. 01:38

    Mandible Reduction Classic Technique

    Uploaded June 2021

  16. 01:13

    Traumatic Arthrotomy

    Uploaded May 2021

  17. 03:36

    Nail Bed Laceration Repair

    Uploaded May 2021

  18. 00:53

    Shoulder Reduction by Davos Technique

    Uploaded April 2021

  19. 01:11

    Nursemaid's Elbow Reduction with Supination Technique

    Uploaded April 2021

  20. 00:41

    Biceps Tendon Rupture

    Uploaded July 2020

  21. 00:38

    Thompson Test for Achilles Tendon Rupture

    Uploaded June 2020

  22. 00:56

    Flexor Tenosynovitis

    Uploaded April 2020

  23. 00:38

    Ankle Reduction

    Uploaded January 2019

  24. 02:28

    Fascia Iliaca Compartment Block

    Uploaded September 2018

  25. 02:06

    Septic Bursitis Aspiration

    Uploaded August 2018

  26. 02:31

    Bone Rongeur for Fingertip Amputation

    Uploaded July 2018

  27. 01:52

    Felon Incision and Drainage

    Uploaded April 2018

  28. 01:21

    Elbow Arthrocentesis

    Uploaded December 2017

  29. 01:29

    Knee Arthrocentesis and Intraarticular Injection

    Uploaded December 2017

  30. 01:20

    Ulnar Nerve Block at the Wrist

    Uploaded December 2017

  31. 01:23

    Hip Reduction by East Baltimore Lift Maneuver

    Uploaded November 2017

  32. 02:07

    Reduction Techniques for Posterior Hip Dislocation

    Uploaded November 2017

  33. 01:03

    Trephination of a Fingernail Subungual Hematoma

    Uploaded October 2017

  34. 01:36

    Paronychia Incision and Drainage

    Uploaded October 2017

  35. 02:37

    Removal of Ingrown Toenail

    Uploaded September 2017

  36. 01:44

    Shoulder Joint Injection

    Uploaded July 2017

  37. 01:33

    Subacromial Bursa Injection for Impingement Syndrome

    Uploaded July 2017

  38. 01:20

    Reduction of Temporomandibular Joint Dislocation

    Uploaded May 2017

  39. 01:00

    Reduction of Inferior Shoulder Dislocation

    Uploaded April 2017

  40. 00:37

    Reduction of Posterior Shoulder Dislocation

    Uploaded April 2017

  41. 01:12

    Reduction of Anterior Shoulder Dislocation

    Uploaded April 2017

  42. 01:34

    Fish Hook Removal

    Uploaded February 2017

  43. 01:16

    Pelvic Binder Placement

    Uploaded February 2017

  44. 03:18

    Pelvic Fractures

    Uploaded February 2017

  45. 01:40

    Wrist Arthrocentesis

    Uploaded October 2016

We first review how to setup and use the Stryker intracompartmental pressure monitor device, then we review the anatomical compartments and where to insert the needle for each compartment of the lower leg and forearm. Presented by Jessica Mason, MD and Walid Hamud, MD.

Phu Manh T. -

patient will be in a lot of discomfort already with CPS. any local anesthesia given or if it's even considered?

Jess Mason -

Yes, we inject some local anesthetic at the very beginning of the video. Your patient likely will also need some systemic analgesia.

Jonathan G. -

this was an awesome review. thank you!

Mazdak M., Dr -

Could we use the arterial line set if striker needle not available?

Jess Mason -

Yes you can. I plan to make a video on that in the future.

Katherine B. -

very high yield - thank you

Dharmesh S. -

In a pinch - you can use a CSF manometer loaded with saline and a 3-way connection.
The CSF manometer connected to 3-way stopcock. Saline is injected to fill up the manometer via the 3-way, and the stop-cock is closed to the syringe which is then disconnected. Now you have the manometer filled with saline. A needle is attached to the 3-way tubing. Open the stop-cock to needle, allowing saline to flow from manometer and push out the small amount of air in the needle. Close to the needle once air is out. Insert the needle into the muscle compartment. Keeping the "zero" mark on manometer level with the skin insertion point of the needle in the muscle compartment and holding the manometer perpendicular to the ground, the 3-way is opened to the needle (patient) again. Saline meniscus level in the manometer will start dropping, and stabilize at the compartment pressure. Now you have compartment pressure in "cm of water".
Conversion - 3 mm Hg = 4 cm Water (approx).
In resource limited settings in India - we have also used IV set taped to a meter rule as our manometer.

Sierra D. -

So is the correct number to use for compartment pressure the reading acquired when the muscles in the compartment are passively stretched, rather than when they are in a neutral position?

Jess Mason -

You should use the number when the compartment is relaxed -- not stretched. The purposes of stretching the compartment is to confirm you are in the right compartment you intended to check, because you will see the number rise.

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Mobile Video (180p) 57.3 MB - MP4Small Video (400p) 57.8 MB - MP4Standard Video (720p) 291 MB - MP4