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Ultrasonic device for the noninvasive diagnosis of compartment syndrome

John E Lynch1, Joseph S Heyman1 and Alan R Hargens2

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An ultrasonic device for the diagnosis of acute compartment syndrome is described and results on six human cadaveric legs are presented. The ultrasonic device uses a pulsed phase locked loop (PPLL) to measure sub-micrometer displacements of the fascia wall. These displacements occur as a result of volume expansion of the muscle compartment of the lower leg and are related to changes in intramuscular pressure (IMP). In the cadaveric tests, the PPLL detected changes in compartment diameter resulting from IMP changes of 1 mmHg and from infusions of 0.25 ml saline increments. Based on these results, the ultrasonic PPLL appears to have the potential to become a low-cost, portable and noninvasive alternative to current methods for diagnosing acute compartment syndrome.


PACS

43.80.Vj Acoustical medical instrumentation and measurement techniques

43.80.Qf Medical diagnosis with acoustics (in PACS, see also 87.63.D−)

87.19.Ff Muscles

87.80.-y Biophysical techniques (research methods)

Subjects

Instrumentation and measurement

Medical physics

Biological physics

Dates

Issue 1 (February 2004)

Received 21 July 2003, accepted for publication 28 November 2003

Published 19 December 2003



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