Exertional Compartment Syndrome Leading to Bilateral Foot Drop: A Case Report

Autor:	Iltekin Duman, Mehmet Ali Taskaynatan, Koray Aydemir, Volkan Yilmaz
Rok vydání:	2013
Předmět:	Foot drop medicine.medical_specialty Rehabilitation medicine.diagnostic_test business.industry medicine.medical_treatment Magnetic resonance imaging Electromyography Fasciotomy Surgery Rheumatology Edema medicine Peroneus longus medicine.symptom business Foot (unit)
Zdroj:	Journal of Musculoskeletal Pain. 21:71-74
ISSN:	1540-7012 1058-2452
Popis:	BackgroundAlthough more commonly encountered with trauma, long-lasting exercise can cause a compartment syndrome. This is the first reported case of bilateral exertional compartment syndrome [ECS] that led to bilateral foot drop.FindingsA 20-year-old man presented with complaints of swelling and pain in both legs which starting after a long, strenuous exercise. Magnetic resonance imaging showed edema in the peroneus longus and brevis muscles. The electromyography examination demonstrated severe axonal degenerations on bilateral peroneus profundus nerves. The diagnosis of ECS of the both legs leading to bilateral foot drop was established. Decompressive fasciotomies was performed one month after the onset of complaints. Improvement after physical therapy and rehabilitation was not satisfactory.ConclusionsECS can be overlooked as a diagnosis. Surgical decompression is the best choice of treatment. Late diagnosis and delayed surgery might lead to poor prognosis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::672332ef033ff922f14a9c1a22962de5 https://doi.org/10.3109/10582452.2012.762965 Zobrazit plný text záznamu