Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete

Autor: James T. Stefanski, Conor N. O’Neill, Clarence Brian Toney, Parker H. Johnsen
Rok vydání: 2021
Předmět:
Zdroj: Geriatric Orthopaedic Surgery & Rehabilitation, Vol 12 (2021)
Geriatric Orthopaedic Surgery & Rehabilitation
ISSN: 2151-4593
DOI: 10.1177/21514593211036234
Popis: Case: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the lack of a typical mechanism or fracture. Compartment pressures were measured and found to be significantly elevated. He underwent compartment releases revealing a medial soleus tear with 400–500 cc hematoma. Conclusion: The case presents a patient with ACS after a soleus muscle tear. Prompt recognition and fasciotomy led to a good clinical outcome. Physicians should recognize that not only gastrocnemius tears can lead to compartment syndrome.
Databáze: OpenAIRE