Analytical review of methods for diagnosing compartment syndrome in patients with phlegmon of the upper limb

Introduction. Diagnostics and treatment of acute tissue hypertension syndrome (compartment syndrome) is one of the urgent problems of surgery.Objective. To study the main available methods of tissue pressure control in patients with intermuscular phlegmon of the upper limb.Materials and methods of research. The study included: analysis of available literature on the electronic resources CyberLeninka, Elaibrary, Google Academy. Analysis of the original material on the diagnosis of tissue hypertension in 134 patients with deep intermuscular phlegmon of the upper limb.Treatment results. The clinical diagnosis of compartment syndrome is not always obvious. Usually, the patient may have a diffuse purulent process and it can be difficult to determine which localization causes pain. Today, there are two main types of determining the increase in pressure inside the fascial cases, these are hardware technologies and subjective signs. Both directions have an equal number of followers. In medical centers in America, the "five Pi" rule has become especially popular for diagnosing compartment syndrome. In Europe, Africa, Asia, surgeons prefer catheter systems operating on the Whitesides principle.Conclusion. Hardware measurement of tissue pressure is the only adequate method for diagnosing tissue hypertension, has 100 % sensitivity, is accessible to medical institutions with different levels of funding, and should be recommended for widespread implementation in practice.