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  2. Nerve conduction disturbances emerge when the difference between the compartment and diastolic pressure becomes less than 30 mmHg or compartment pressure becomes greater than 30 mmHg [ 7,8 ]. If this occurs, patients may perceive altered sensation at the affected site and exhibit decreased performance in the two-point discrimination test.
    www.uptodate.com/contents/pathophysiology-class…
    In a recent review of the Pubmed and Cochrane databases, Tiwari et al (3) quote the study by Gelbermann in the upper limb, where he found that " loss of 2 point discrimination (which measures sensory loss) is a sensitive sign in differentiating compartment syndrome from raised intracompartment pressure alone."
    www.bmj.com/rapid-response/2011/10/29/re-acute …
    Assess loss of sensation by light touch and two-point discrimination, rather than just pinprick, which is less sensitive. Refer to a surgeon if compartment syndrome is suspected — do not rely on clinical signs — have a high index of suspicion! Palpable distal pulses and normal capillary refill does not exclude compartment syndrome.
    litfl.com/compartment-syndrome-ccc/
     
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