After a tibial fracture, a patient has severe pain on passive stretching of the toes and a tense calf. What is the treatment?
Answer and explanation
Correct answer: A. Fasciotomy for compartment syndrome, performed urgently
- Step 1: Pain on passive stretch with a tense compartment signals raised pressure. Step 2. Urgent fasciotomy prevents muscle necrosis. Answer: fasciotomy. Why not the others: Reassurance, tight casting and anticoagulation do not relieve the pressure.
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