scholarly journals Lower Leg Compartment Syndrome after Appendicectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Shane C. O’Neill ◽  
Darren F. Lui ◽  
Colm Murphy ◽  
Patrick J. Kiely
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Functional Recovery ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
High Index ◽  
Leg Pain ◽  
Delayed Referral ◽  
High Index Of Suspicion ◽  
Lower Leg Pain

A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.

Eythromelalgia Mimicking Lower Leg Pain of Spinal Origin - Case Report -

2009 ◽  
Vol 44 (3) ◽  
pp. 391
Author(s):  
Dae Moo Shim ◽  
Tae Kyun Kim ◽  
Jin Young Park ◽  
Sung Kyun Oh ◽  
Young Ha Woo
Keyword(s):  
Case Report ◽  
Lower Leg ◽  
Leg Pain ◽  
Lower Leg Pain

P16-S Isolated lower-leg pain and A-wave studies: A case report

2019 ◽  
Vol 130 (7) ◽  
pp. e99
Author(s):  
Vasily Khodulev ◽  
Oleg Kobylko ◽  
Svetlana Vlasava
Keyword(s):  
Case Report ◽  
Lower Leg ◽  
Leg Pain ◽  
Lower Leg Pain

scholarly journals Lower Leg Chronic Exertional Compartment Syndrome in Patients 50 Years of Age and Older

2018 ◽  
Vol 6 (3) ◽  
pp. 232596711875717 ◽  
Author(s):  
Johan A. de Bruijn ◽  
Aniek P.M. van Zantvoort ◽  
Michiel B. Winkes ◽  
Marike van der Cruijsen-Raaijmakers ◽  
Adwin R. Hoogeveen ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Older Patients ◽  
Lower Leg ◽  
Leg Pain ◽  
Older Individuals ◽  
Younger Patients ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Exercise Induced ◽  
Lower Leg Pain

Background: Lower leg chronic exertional compartment syndrome (CECS) is usually diagnosed in young and athletic individuals. The presence of CECS in older patients has received little attention in the literature, and patient characteristics are unknown. Purpose: To determine the prevalence of CECS in older patients (≥50 years) and to assess whether older patients with CECS differ clinically from younger patients with CECS. Study Design: Cohort study; Level of evidence, 3. Methods: All individuals with exercise-induced lower leg pain who visited a referral center for CECS between January 2001 and December 2013 were eligible for analysis. Patients were included if history, physical examination, and dynamic intracompartmental pressure measurement indicated CECS. Characteristics of patients 50 years of age or older were compared with characteristics of patients younger than 50. Results: A total of 698 patients with CECS were included: 98 patients were aged 50 years or older and 600 patients were younger than 50 years. Older individuals more often reported a history of lower leg events or comorbidities (≥50 years, 45% vs <50 years, 25%; P < .01) and unilateral symptoms (≥50 years, 45% vs <50 years, 22%; P < .01). Most older patients (62%) did not participate in sport or only walked or hiked, whereas the same was true of only 7% of the younger population. Pain (≥50 years, 94%; <50 years, 96%) and tightness (≥50 years, 57%; <50 years, 62%) were the predominant symptoms of CECS in both groups. Type of CECS differed significantly ( P < .01); the anterior muscle compartment was involved more frequently in older patients (≥50 years, 82% vs <50 years, 59%) and deep flexor muscle CECS was more often diagnosed in younger patients (≥50 years, 26% vs <50 years, 53%). Conclusion: In the present population, 1 in 7 patients diagnosed with lower leg CECS was 50 years of age or older. These individuals were less active and had more comorbidities than patients younger than 50 years. Older individuals predominantly have anterior CECS. Clinicians should consider CECS in older individuals with exercise-induced lower leg pain, particularly if it is unilateral.

Acute compartment syndrome complicating Co lies′ fracture

1996 ◽  
Vol 82 (2) ◽  
pp. 139-140
Author(s):  
P E Howden
Keyword(s):  
Compartment Syndrome ◽  
Rare Complication ◽  
Acute Compartment Syndrome ◽  
High Index ◽  
Post Injury ◽  
Colles Fracture ◽  
High Index Of Suspicion

AbstractColles’ fracture is a common injury and has a relatively high associated morbidity. Compartment syndrome is a rare complication, but a high index of suspicion must be maintained in the initial post-injury and postreduction periods.

Poster 447 Atypical Lumbar Radiculopathy Presentation as Generalized Lower Leg Pain: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S306-S307
Author(s):  
Christopher F. Ketcham ◽  
Mohammad Agha
Keyword(s):  
Case Report ◽  
Lower Leg ◽  
Leg Pain ◽  
Lumbar Radiculopathy ◽  
Lower Leg Pain

scholarly journals Peroneal Compartment Syndrome of Non-Traumatic Origin: A Case Report

2001 ◽  
Vol 9 (2) ◽  
pp. 67-69 ◽  
Author(s):  
L Andrew Ashton ◽  
PG Jarman ◽  
E Marel
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
High Index ◽  
Aetiological Factor ◽  
Compartment Syndromes ◽  
Traumatic Origin ◽  
High Index Of Suspicion

A patient with acute peroneal compartment syndrome is presented. This case is unusual because the pathology was localised to the peroneal compartment only and because trauma was not an aetiological factor. Acute and chronic compartment syndromes are discussed and differentiated, and the importance of a high index of suspicion in all cases is emphasised.

scholarly journals Does the shoe-lace technique aid direct closure of fasciotomy wounds after acute compartment syndrome of the lower leg? a retrospective case-control study

2021 ◽  
pp. 145749692110196
Author(s):  
P. Suomalainen ◽  
T.-K. Pakarinen ◽  
I. Pajamäki ◽  
M. K. Laitinen ◽  
H.-J. Laine ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Lower Leg ◽  
Conventional Technique ◽  
Tibia Fracture ◽  
Acute Compartment Syndrome ◽  
Retrospective Case ◽  
Direct Closure ◽  
Patient Database

Background & aim: Tibia fractures are relatively common injuries that are accompanied with acute compartment syndrome in approximately 2% to 20% of cases. Although the shoe-lace technique, where vessel loops are threaded in a crisscross fashion and tightened daily, has been widely used, no studies have compared the shoe-lace technique with the conventional one. The aim of this study was to compare the shoe-lace technique with the conventional technique. Materials and Methods: We identified 359 consecutive patients with intramedullary nailed tibia fracture and complete medical records including outpatient data between April 2007 and April 2015 from electronic patient database of our institute. The use of the shoe-lace technique was compared to conventional one (in which wounds were first left open with moist dressings). Main outcome measurement is direct closure of fasciotomy wounds. Results: From 359 consecutive patients with intramedullary nailed tibia fracture, fasciotomy was performed on 68 (19%) patients. Of these, the shoe-lace technique was used in 47 (69%) patients while in 21 (31%) patients, the shoe-lace technique was not applied. Side-to-side approximation was successful in 36 patients (77%) in the shoe-lace+ group and 7 patients (33%) in the shoe-lace– group (p = 0.002). Conclusion: The main finding of our comparative study was that the shoe-lace technique seems to ease direct closure of lower leg fasciotomy wounds, and thus reduces the frequency of free skin grafts. Our finding needs to be confirmed in a high-quality randomized controlled trial.

scholarly journals Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
David Walmsley ◽  
Terry Axelrod ◽  
Sebastian Rodriguez-Elizalde
Keyword(s):  
Risk Factor ◽  
Compartment Syndrome ◽  
Femoral Fracture ◽  
Femur Fracture ◽  
Femoral Vein ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
Therapeutic Anticoagulation ◽  
Vein Injury ◽  
Grade Iii

Acute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair. She developed lower leg compartment syndrome at 48 hours postoperatively, necessitating fasciotomies. She was subsequently found to have a DVT in her femoral vein at the level of the repair and was started on therapeutic anticoagulation. This case highlights the importance of recognition of isolated venous injuries in a trauma setting as a risk factor for developing compartment syndrome.

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