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What is typically the first symptom to appear in compartment syndrome?

Pulselessness

Pain

In compartment syndrome, the first symptom that typically manifests is pain. This pain is usually disproportionate to the degree of injury or trauma that a patient has sustained. It tends to occur early and is often described as severe, deep, and relentless, worsening with passive stretching of the muscles located within the affected compartment. The intensity of the pain can be a key indicator that the condition is developing.

As the condition progresses, other symptoms like pulselessness, pallor, and paralysis may develop, but they are usually secondary to the initial presentation of pain. Recognizing pain as the first indicator can prompt timely intervention, which is crucial in preventing irreversible damage to the muscles and nerves within the compartment.

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Pallor

Paralysis

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