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Acute compartment syndrome — RCPSC EM MCQ

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EasyMusculoskeletalAcute compartment syndromeRCPSC EM

A 24-year-old has severe forearm pain after a both-bone fracture reduction. Pain is worse with passive finger extension, the forearm is tense, and opioid analgesia gives little relief. Radial pulse remains present. What is the most appropriate next step?

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Correct answer: C — Call orthopaedics urgently for fasciotomy assessment

Call orthopaedics urgently for fasciotomy assessment is correct: the clues indicate Acute compartment syndrome and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian orthopaedic emergency practice