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Title: Compartment syndrome without pain! Author: O'Sullivan MJ, Rice J, McGuinness AJ. Journal: Ir Med J; 2002 Jan; 95(1):22. PubMed ID: 11928785. Abstract: We report the case of a young male patient who underwent intra-medullary nailing for a closed, displaced mid-shaft fracture of tibia and fibula. He was commenced on patient controlled analgesia post-operatively. A diagnosis of compartment syndrome in the patient's leg was delayed because he did not exhibit a pain response. This ultimately resulted in a below-knee amputation of the patient's leg. We caution against the use of patient controlled analgesia in any traumatised limb distal to the hip or the shoulder.[Abstract] [Full Text] [Related] [New Search]