Clinical Studies Of Diagnosis Of Osteofascial Compartment Syndrome By The Improved Rorabeck' Measurement

Objective: The aim of the study was to use the improved Rorabeck' s measurement to measure the intracompartmental pressure on the wounded limb, and to discuss the relationship of the symptoms and the intracompartmental pressure and to confer the meaning of these symptoms in diagnosing the Osteofascial Compartment Syndrome(OCS).Methods: 32 patients who were accorded with bring into standard and in Orthopedices of Traditional Chinese Medicine affiliated hospital from March 2006 to April 2007 were continued measured by improved Rorabeck' s measurement. The patients' symptoms were observed and recorded as soon as the measurement. A statistical software was used to analyze the data of the patients. X² test was used to check out the relationship of the symptoms and signs by calculating the correlation coefficient; Multiple linear regression analysis was used to measure the relevance of the information.Results: The clinical symptoms and signs that are paresthesia, stretch pain, blisters, petechia and paralysis are related to the diagnosis of OCS by the correlation coefficient which were calculated by the X 2 test. And the pulselessness is not relevant with the OCS. In addition, the three variables that are pain score, oxygen saturation and the change of two point feeling and the responseâ–³P are negative correlation. We got the the partial correlation coefficient by calculating. And the partial correlation coefficient are statistically Significance, which is proved by the test. Statistics obtained multiple linear regression equation Y = 163. 238-2. 195X₁-1. 012X₂-10. 223X₃ which is proved to be significant by the test.Conclusion: The improved Rorabeck measurement as a detection of intracompartmental pressure has the advantage of accurate and simple measurement which can be widely uesed in clinical.Clinical symptoms and signs which are numbness, stretch pain, blisters, cand paralysis are relate to the OCS. The relationship from weak to strong are: petechia, blisters, paralysis, stretch pain, petechia and blisters were seen at the same time, Numbness, weakness, pain and numbness traction were seen at the same time. Thus, the number of symptoms that were seen at the same time improve the the rate of clinical diagnosis. The relationship of the pain score, oxygen saturation and two point feeling with theâ–³P from weak to strong are: two points feeling, pain score, oxygen saturation.Multiple linear regression equation Y= 163. 238-2.195X₁-1. 012X₂-10. 223X₃ that can be used to calculatâ–³P by the data which is got from the clinical exam will be used to predict whether compartment syndrome occurred. Therefore, we should be in accordance with relevant clinical signs and symptoms and intracompartmental pressure to draw a more accurate clinical diagnosis.