Acute Anterior Compartmental Syndrome of the Thigh Following Contusion. A Case Report and Review of the Literature

Gorman, Paul W.; McAndrew, Mark P.

doi:10.1097/00005131-198701010-00011

Cited by 38 publications

(7 citation statements)

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“…Of the sporting reports that noted sex, 100% were male with mean age of 22.8 years 6 38 39 41 43 46 54 56. The propensity for young, muscular, athletic males to develop ACS has been noted in the literature4 40 70 and reflects our presented case. McQueen et al 4 suggests that young men may have larger muscle volumes relative to a fixed compartment size, which reduces the amount of free space available for swelling after injury.…”

Section: Discussionsupporting

confidence: 65%

Acute compartment syndrome of the thigh in a rugby player

2015

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SUMMARYIn the absence of obvious trauma, diagnosis of acute compartment syndrome (ACS) of the thigh can easily be delayed, as disproportional pain is not always present. We present a case of ACS of the anterior right thigh compartment in a healthy, semiprofessional rugby player with normal coagulation, who sustained a seemingly innocuous blow during a rugby match. Following early surgical fasciotomy, he returned to his preinjury playing standards within 12 months. Our literature review suggests that high muscle mass, young, athletic males participating in a contact sport are mostly at risk of developing ACS of the thigh. BACKGROUND

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Section: Discussionsupporting

confidence: 65%

Acute compartment syndrome of the thigh in a rugby player

2015

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“…There is only a single case described in the literature [2, 4, 6-8, 10, 12, 16, 19, 21-23, 25, 28]. Most surgeons recommend operative treatment [2,4,6,8,12,16,19,20,22,23,25]. However, the literature describes few cases of compartment syndrome of the thigh treated without fasciotomy [7,10,21].…”

Section: Introductionmentioning

confidence: 99%

Conservative treatment of an acute compartment syndrome of the thigh

Riede

Schmid

Roméro

2006

Arch Orthop Trauma Surg

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Compartment syndromes of the thigh after blunt trauma without any fracture are rare. Most surgeons recommend operative treatment. There are different rules for compartment syndromes of the thigh in young athletes after blunt trauma compared to compartment syndromes at other locations [(1) the large volume of the quadriceps muscle, (2) its relatively elastic fascia, (3) the direct proximal contact to the hip muscles which allows extravasation of fluid out of the compartment)]. We present a case of conservative treatment of elevated intra-compartmental pressure (ICP) of the anterior thigh after blunt trauma and the follow-up until return to sport. Conservative treatment of a compartment syndrome of the thigh after blunt trauma in a young patient without fracture or vascular damage was successful without short-term sequelae. Recovery of muscle strength is delayed but return to sport is possible. Depending on the severity the diagnosis and follow-up with ICP measurements and MRI is necessary. There is a very good chance for excellent outcome without any risk of surgery. However, a long healing time is possible.

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“…The issue of compartment syndrome of the thigh caused by blunt trauma, without an associated femur fracture, has been poorly addressed in the literature. Although a number of authors have expressed the opinion, formed primarily on the basis of one or two case reports, that these injuries should be managed in a manner similar to that of other compartment syndromes, 1,2,7,10 not all agree. 6 A review of published reports of thigh contusions treated with fasciotomy failed to reveal any instance of necrotic muscle found at the time of fasciotomy or subsequent clinical evidence of muscle fibrosis, restriction of knee motion, or loss of function.…”

Section: Discussionmentioning

confidence: 99%