Journal of the Korean Society for Surgery of the Hand  2011;16(4):255-258

Compartment Syndrome Following an Olecranon Fracture in a Stroke Patient Taking Ticlopidine and Aspirin.

Sanglim LEE 1 ; Su Chan OH ; Su Young BAE

Affiliations

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Keywords

Olecranon fracture; Compartment syndrome; Stroke; Tticlopidine; Aspirin

Country

Republic of Korea

Language

Korean

Abstract

We report a case of compartment syndrome following an olecranon fracture in the stroke patient with quadriparesis taking ticlopidine and aspirin. Antithrombic and antiaggregating ability of the medications could increase the bleeding tendency. Intraoperatively, the deep fascia of the forearm was found to be thick and tight due to long-standing spasticity, which made it difficult to minimize increased intra-compartmental pressure due to the hemorrhage from the fracture site. The chronically spastic limb of the stroke patients taking ticlopidine and aspirin should be observed carefully for the occurrence of compartment syndrome even after a low energy injury.