Clinical
Case Report
Post-traumatic swelling characterization to reduce uncertainty in ACS risk stratification and surgical decision-making
Preliminary data – shared prior to publication with allowance by Prof. Dr. med. R. Sellei, Sana Klinikum Offenbach, Germany
Objective
Introduction
A 28-year-old male patient presented with lower-leg swelling and hematoma after a direct impact during a soccer game. These findings raised concern for evolving Acute Compartment Syndrome (ACS), prompting urgent clarification of whether the swelling reflected critical compartment pressure requiring imminent intervention or if the swelling could be managed conservatively.
Solution
To support decision-making, non-invasive soft tissue assessment was performed using Compremium Quantis® ST on the injured and healthy leg.
A CP-Value of 3.8% on the injured side indicated critically reduced muscle compressibility, suggesting that the patient is in the high-risk zone for ACS. The calculated CP-Quotient of 5.79 confirmed the elevated risk.
Result
Outcome & Conclusion
The medical team used Compremium Quantis® ST to visualize and target the affected tissue within the compartment at risk, confirming that the elevated pressure originated from soft tissue compromise rather than adjacent hematoma.
The CP-Value on the injured side (3.8%) and CP-Quotient (5.79) correlated with the clinical findings.
The integration of imaging and quantitative assessment supported the classification of the patient as high risk of ACS and informed the decision to perform immediate fasciotomy.
Compremium Quantis® ST provided objective evidence to support ACS risk stratification and timely surgical decompression definitive fixation.
