HighlightsOur case the difficulty of differentiating severe quadriceps contusion from thigh compartment syndrome.We ed the response of thigh musculature to blunt trauma.Clinicians should be aware of vascular injury as a cause of thigh compartment syndrome in sports trauma. Vascular examination is warranted in all cases of quadriceps injury.MRI findings of deep thigh muscle swelling and “blow-out” tear of the vastus lateralis are strongly suggestive of severe quadriceps injury, and may be a harbinger of delayed thigh compartment syndrome.
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