First sign of compament syndrome is ?

Ans. is 'a' i.e., Pain Clinical features of compament syndrome Four signs are reliable in diagnosing a compament syndrome :- Paresthesia or hypesthesia in nerves traversing the compament Pain with passive stretching of the involved muscles (stretch pain) Pain with active flexion of the muscles Tenderness over the compament Amongst these, stretch pain is the earliest sign of impending compament syndrome. The ischemic muscles, when stretched, give rise to pain. Passive extension of fingers (streching the fingers) produce pain in flexor compament of forearm. Other features are Pulselessness, paralysis, Pallor and pain out of propoion to physical findings. Peripheral pulses, are present initially and disappear later. Therefore, pulse is not a reliable indicator for compament syndrome.