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Acute Compartment Syndrome of the Upper Extremity Secondary to Blunt Trauma That Resulted in Closed Disruption of an Arteriovenous Fistula in the Absence of FractureA Case Report
CPT Andrew Cleveland, MD1; Miguel Pirela-Cruz, MD1
1 Department of Orthopaedics, University Medical Center/Texas Tech University Health Sciences Center, 4801 Alberta Avenue, El Paso, TX, 79905
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Investigation performed at University Medical Center/Texas Tech University Health Sciences Center, El Paso, Texas



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Apr 24;3(2):e40 1-3. doi: 10.2106/JBJS.CC.L.00206
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Extract

Acute compartment syndrome (ACS) occurs when the pressure within a fibro-osseous compartment increases to such a point that the perfusion gradient is decreased at the capillary level. In the upper extremity, ACS can be caused by anything that increases volume within the confined spaces of the fascia or physically restricts expansion of the compartment externally1. This case report describes the unreported incidence of ACS in the upper extremity as a consequence of hemorrhage from a ruptured brachiocephalic arteriovenous (AV) fistula following closed blunt trauma. The patient was informed that data concerning the case would be submitted for publication, and he provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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