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A 45-year-old man presenting with anterior compartment syndrome three weeks following conservative treatment of an Achilles tendon rupture.
MedLine Citation:
PMID:  21680306     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Compartment syndrome complicating a ruptured Achilles tendon has previously been reported in a surgically treated patient. However - to our knowledge - this is the first report of compartment syndrome following conservative treatment. A 45-year-old man ruptured his Achilles tendon and elected to have treatment in an equinus cast. Three weeks later, he developed compartment syndrome and despite fasciotomy, required surgical debridement of his anterior compartment. Delay in both diagnosis and subsequent fasciotomy resulted in a poor outcome. Any suspicion of compartment syndrome mandates early compartmental pressure monitoring. The exact aetiology is uncertain but we speculate that the equinus position of his ankle combined with weight-bearing, was a major contributing factor.
Authors:
Michael van Niekerk; Farrah Jarrad; James S Huntley; Stuart McCowan
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Scottish medical journal     Volume:  56     ISSN:  0036-9330     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-6-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  120     Citation Subset:  -    
Affiliation:
Auckland City Hospital, Park Road, Auckland, New Zealand.
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