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Erschienen in: MUSCULOSKELETAL SURGERY 3/2009

01.12.2009 | Case Report

Delay in diagnosis of acute on chronic exertional compartment syndrome of the leg

verfasst von: André-Pierre Uzel, Guillaume Lebreton, Medhi Lionel Socrier

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 3/2009

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Abstract

Exertional compartment syndrome is most commonly described in its chronic form in the young sportive patient. The acute form is a lot rarer and usually only unilateral. We report a case in which a chronic compartment syndrome became acute after intense effort. This was diagnosed rather late due to the lack of knowledge about this syndrome. The necrosis noticed during the fasciotomy was removed by iterative interventions. The wound was left in secondary healing because the patient refused a flap. Upon the patient’s last follow-up visit, the wound was healed, but he had a complete deficit in dorsal flexion of the ankle, a foot drop and consequently a steppage gait.
Literatur
1.
Zurück zum Zitat Leach RE, Hammond G, Stryker WS (1967) Anterior tibial compartment syndrome. Acute chronic. J Bone Joint Surg Am 49:451–462PubMed Leach RE, Hammond G, Stryker WS (1967) Anterior tibial compartment syndrome. Acute chronic. J Bone Joint Surg Am 49:451–462PubMed
2.
Zurück zum Zitat Reneman RS (1975) The anterior and the lateral compartment syndrome of the leg due to the intensive use of muscles. Clin Orthop 113:69–80CrossRefPubMed Reneman RS (1975) The anterior and the lateral compartment syndrome of the leg due to the intensive use of muscles. Clin Orthop 113:69–80CrossRefPubMed
3.
Zurück zum Zitat Blasier D, Barry RJ, Weaver T (1992) Forced march-induced peroneal compartment syndrome. A report of two cases. Clin Orthop 284:189–192PubMed Blasier D, Barry RJ, Weaver T (1992) Forced march-induced peroneal compartment syndrome. A report of two cases. Clin Orthop 284:189–192PubMed
4.
Zurück zum Zitat Grewitt M, Macdonald R (1991) Spontaneous tibial compartment syndrome. Injury 22:330–331CrossRef Grewitt M, Macdonald R (1991) Spontaneous tibial compartment syndrome. Injury 22:330–331CrossRef
5.
Zurück zum Zitat Mc Hale KM, Prahinski JR (1994) Acute exertional compartment syndrome occurring after performance of the army physical fitness test. Orthop Rev 23:749–753 Mc Hale KM, Prahinski JR (1994) Acute exertional compartment syndrome occurring after performance of the army physical fitness test. Orthop Rev 23:749–753
6.
Zurück zum Zitat Dietrich D, Paley KJ, Ebraheim NA (1994) Spontaneous tibial compartment syndrome: case report. J Trauma 37:138–139CrossRefPubMed Dietrich D, Paley KJ, Ebraheim NA (1994) Spontaneous tibial compartment syndrome: case report. J Trauma 37:138–139CrossRefPubMed
7.
Zurück zum Zitat Willy C, Becker HP, Evers B, Gerngross H (1996) Unusual development of acute exertional compartment syndrome due to delayed diagnosis. A case report. Int J Sports Med 17:458–461CrossRefPubMed Willy C, Becker HP, Evers B, Gerngross H (1996) Unusual development of acute exertional compartment syndrome due to delayed diagnosis. A case report. Int J Sports Med 17:458–461CrossRefPubMed
8.
Zurück zum Zitat Nicholson P, Devitt A, Stevens M, Mahalingum K (1998) Acute exertional peroneal compartment syndrome following prolonged horse riding. Injury 29:643–644CrossRefPubMed Nicholson P, Devitt A, Stevens M, Mahalingum K (1998) Acute exertional peroneal compartment syndrome following prolonged horse riding. Injury 29:643–644CrossRefPubMed
9.
Zurück zum Zitat Brodsky M, Bongiovanni MS (2000) Bilateral lower leg acute exertional compartment syndrome. Orthopedics 23:607–609PubMed Brodsky M, Bongiovanni MS (2000) Bilateral lower leg acute exertional compartment syndrome. Orthopedics 23:607–609PubMed
10.
Zurück zum Zitat Rorabeck CH, Macnab I (1975) The pathophysiology of the anterior tibial compartment syndrome. Clin Orthop 113:52–57CrossRefPubMed Rorabeck CH, Macnab I (1975) The pathophysiology of the anterior tibial compartment syndrome. Clin Orthop 113:52–57CrossRefPubMed
11.
Zurück zum Zitat Shrier I (1991) Exercise-induced acute compartment syndrome: a case report. Clin J Sport Med 1:202–204CrossRef Shrier I (1991) Exercise-induced acute compartment syndrome: a case report. Clin J Sport Med 1:202–204CrossRef
12.
Zurück zum Zitat Mc Kee M, Jupiter JB (1995) Acute exercise-induced bilateral antero-lateral leg compartment syndrome in a healthy young man. Am J Orthop 24:862–864 Mc Kee M, Jupiter JB (1995) Acute exercise-induced bilateral antero-lateral leg compartment syndrome in a healthy young man. Am J Orthop 24:862–864
13.
Zurück zum Zitat Goldfarb SJ, Kaeding CC (1997) Bilateral acute-on-chronic exertional lateral compartment syndrome of the leg: a case report and review of the literature. Clin J Sport Med 7:59–62CrossRefPubMed Goldfarb SJ, Kaeding CC (1997) Bilateral acute-on-chronic exertional lateral compartment syndrome of the leg: a case report and review of the literature. Clin J Sport Med 7:59–62CrossRefPubMed
14.
Zurück zum Zitat Fehlandt A, Micheli L (1995) Acute exertional anterior compartment syndrome in an adolescent female. Med Sci Sports Exerc 27:3–7PubMed Fehlandt A, Micheli L (1995) Acute exertional anterior compartment syndrome in an adolescent female. Med Sci Sports Exerc 27:3–7PubMed
15.
Zurück zum Zitat Green JE, Crowley B (2001) Acute exertional compartment syndrome in an athlete. Br J Plast Surg 54:265–267CrossRefPubMed Green JE, Crowley B (2001) Acute exertional compartment syndrome in an athlete. Br J Plast Surg 54:265–267CrossRefPubMed
16.
Zurück zum Zitat Reschauer R (1991) Die diagnostic des compartment syndroms. Unfallchirurg 94:216–219PubMed Reschauer R (1991) Die diagnostic des compartment syndroms. Unfallchirurg 94:216–219PubMed
17.
Zurück zum Zitat Boody AR, Wongworawat MD (2005) Accuracy in the measurement of compartment pressures: a comparison of three commonly used devices. J Bone Joint Surg Am 87:2415–2422CrossRefPubMed Boody AR, Wongworawat MD (2005) Accuracy in the measurement of compartment pressures: a comparison of three commonly used devices. J Bone Joint Surg Am 87:2415–2422CrossRefPubMed
18.
Zurück zum Zitat Mc Queen MM, Christie J, Court-Brown CM (1990) Compartmental pressures after intramedullary nailing of the tibia. J Bone Joint Surg Br 72:395–397 Mc Queen MM, Christie J, Court-Brown CM (1990) Compartmental pressures after intramedullary nailing of the tibia. J Bone Joint Surg Br 72:395–397
19.
Zurück zum Zitat Whiteside TE, Haney TC, Morimoto K, Harada H (1975) Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop 113:43–51CrossRef Whiteside TE, Haney TC, Morimoto K, Harada H (1975) Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop 113:43–51CrossRef
20.
Zurück zum Zitat Martens MA, Backaert M, Vermault G, Mulier JC (1984) Chronic leg pains in athletes due to recurrent compartment syndrome. Am J Sports Med 12:148–151CrossRefPubMed Martens MA, Backaert M, Vermault G, Mulier JC (1984) Chronic leg pains in athletes due to recurrent compartment syndrome. Am J Sports Med 12:148–151CrossRefPubMed
21.
Zurück zum Zitat Matsen FA III (1979) Compartmental syndromes. An unified concept. N Engl J Med 300:1210–1211PubMedCrossRef Matsen FA III (1979) Compartmental syndromes. An unified concept. N Engl J Med 300:1210–1211PubMedCrossRef
22.
Zurück zum Zitat Matsen FA III, Winquist RA, Krugmire RB (1980) Diagnosis and management of compartmental syndromes. J Bone Joint Surg Am 62:286–291PubMed Matsen FA III, Winquist RA, Krugmire RB (1980) Diagnosis and management of compartmental syndromes. J Bone Joint Surg Am 62:286–291PubMed
23.
Zurück zum Zitat Abou Chaaya AM, Moukhalalati M, Bazeli A, Vinassé A, Cottias P (2004) Surgical treatment of compartment syndrome of the leg complicated by muscle necrosis after aponeurotomy. J Bone Joint Surg Br 86(suppl I):44 Abou Chaaya AM, Moukhalalati M, Bazeli A, Vinassé A, Cottias P (2004) Surgical treatment of compartment syndrome of the leg complicated by muscle necrosis after aponeurotomy. J Bone Joint Surg Br 86(suppl I):44
24.
Zurück zum Zitat Yang CC, Chang DS, Webb LX (2006) Vacuum-assisted closure for fasciotomy wounds following compartment syndrome of the leg. J Surg Orthop Adv 15:19–23PubMed Yang CC, Chang DS, Webb LX (2006) Vacuum-assisted closure for fasciotomy wounds following compartment syndrome of the leg. J Surg Orthop Adv 15:19–23PubMed
Metadaten
Titel
Delay in diagnosis of acute on chronic exertional compartment syndrome of the leg
verfasst von
André-Pierre Uzel
Guillaume Lebreton
Medhi Lionel Socrier
Publikationsdatum
01.12.2009
Verlag
Springer Milan
Erschienen in
MUSCULOSKELETAL SURGERY / Ausgabe 3/2009
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-009-0043-1

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