[Mechanical impedance: a new, noninvasive method for measuring tissue pressure in tibial compartment syndrome. I. Physical principles and results of an animal experiment]. 1991

S Winckler, and U Reder, and O Ruland, and P P Lunkenheimer
Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälischen Wilhelms-Universität Münster.

The basic factor involved in the development of compartmental syndrome is increased tissue pressure, which leads to impairment of microcirculation, the ultimate cause of muscle cell necrosis, In practice, however, the technical side of pressure measurement has its problems since the current invasive methods using intracompartmental catheters are always at risk of infection. It would be preferable to do the assessment in a noninvasive way from the exterior the pressure that prevails inside. An apparatus was developed to measure the mechanical impedance in the soft tissue layer above the anterior tibial compartment: an impedance head is applied to the overlying tissue with a defined initial pressure. The impedance head contains a driving probe that touches the skin, a receptor measuring force, and acceleration. The ratio of force and acceleration describe and record the mechanical impedance [Z = kg/s]. The accuracy of the appliance was tested in a test using the hindlegs of 21 rabbits with compartmental syndrome, which was induced experimentally by gel instillation. The mechanical impedance was measured under increasing tissue pressures in the anterolateral muscle. We performed a total of 100 gel instillations and 121 times the mechanical impedance was measured at a frequency of 20 Hz. The graphs of all 21 measuring series showed an average rise of 0.0243 kg/s per cm H2O. In general, all graphs showed a linear rise in the mechanical impedance that was proportional to the intracompartmentally measured tissue pressures.

UI MeSH Term Description Entries
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009991 Oscillometry The measurement of frequency or oscillation changes. Oscillometries
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D003238 Connective Tissue Tissue that supports and binds other tissues. It consists of CONNECTIVE TISSUE CELLS embedded in a large amount of EXTRACELLULAR MATRIX. Connective Tissues,Tissue, Connective,Tissues, Connective
D004568 Electrodiagnosis Diagnosis of disease states by recording the spontaneous electrical activity of tissues or organs or by the response to stimulation of electrically excitable tissue. Electrodiagnoses
D005205 Fascia Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.
D006874 Hydrostatic Pressure The pressure due to the weight of fluid. Hydrostatic Pressures,Pressure, Hydrostatic,Pressures, Hydrostatic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000868 Anterior Compartment Syndrome Rapid swelling, increased tension, pain, and ischemic necrosis of the muscles of the anterior tibial compartment of the leg, often following excessive PHYSICAL EXERTION. Anterior Tibial Syndrome,Anterior Compartment Syndromes,Anterior Tibial Syndromes,Compartment Syndrome, Anterior,Compartment Syndromes, Anterior,Syndrome, Anterior Compartment,Syndrome, Anterior Tibial,Syndromes, Anterior Compartment,Syndromes, Anterior Tibial,Tibial Syndrome, Anterior,Tibial Syndromes, Anterior

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