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Author's reply| Volume 41, ISSUE 4, P432-433, April 2010

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Reply to the letter to the Editor: Giannoudis PV, Tzioupis C, Pape H-C. Early diagnosis of tibial compartment syndrome: Continuous pressure measurement or not? [Injury 2009;40:341–42]

      We would like to thank Mrs McQueen and Mr Court-Brown for their interest in our editorial. Their pivotal scientific contribution in the area of trauma and orthopaedics is mirrored in their continuous effort for the improvement of the care of NHS patients.
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      Linked Article

      • Letter to the Editor
        InjuryVol. 41Issue 4
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          We read your editorial on ‘Early diagnosis of compartment syndrome: Continuous pressure measurement or not?’1 with interest and not a little trepidation for the management of future patients in the NHS. Your message is that ICP monitoring is unnecessary. However we feel that we should point out that there is evidence that the traditional clinical signs of compartment syndrome are at best often difficult to interpret. Ulmer, in his analysis of the usefulness of these signs, showed that the classical clinical signs had a sensitivity of 13–19% and a positive predictive value of only 11–15%.
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