| Acute isolated lateral leg compartment syndrome following a peroneus longus muscle tear. | |
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MedLine Citation:
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PMID: 19292237 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute compartment syndrome is a rare orthopedic emergency caused by orthopedic, vascular, iatrogenic, or soft tissue injury that elevates the pressure within a closed fascial space. Untreated acute compartment syndrome leads to ischemia of the muscles and nerves within the compartment with a resultant loss of motor and sensory function, death of skeletal muscle, and subsequent contracture and deformity. This article presents a case of compartment syndrome in a 33-year-old man following a peroneus longus muscle tear. The patient underwent emergent fasciotomy and decompression of the lateral compartment, and a hematoma located at the musculotendonous junction of the peroneus longus was evacuated. The patient was placed in a posterior splint with the ankle at 90 degrees and elevated. Postoperatively, the patient reported complete resolution of pain, numbness, and tingling. The patient underwent delayed skin closure on the second postoperative day and subsequently had an uneventful recovery. By 4 months postoperatively, he had resumed full activity. Knowledge of the signs and symptoms of compartment syndrome and a high index of suspicion is paramount as this injury can occur after a seemingly innocuous injury such as an ankle inversion injury. |
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Authors:
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Mark Slabaugh; Jacob Oldham; John Krause |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Orthopedics Volume: 31 ISSN: 0147-7447 ISO Abbreviation: Orthopedics Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2009-03-18 Completed Date: 2009-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806107 Medline TA: Orthopedics Country: United States |
Other Details:
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Languages: eng Pagination: 272 Citation Subset: IM |
Affiliation:
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89th MSGS/SGCXO, 1050 W Perimeter Rd, Andrews AFB, MD 20762, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Compartment Syndromes / etiology*, surgery* Decompression, Surgical / methods* Humans Leg Injuries / complications*, surgery* Male Muscle, Skeletal / injuries*, surgery* Rupture / complications, surgery Treatment Outcome |
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