Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-08T11:26:17.469Z Has data issue: false hasContentIssue false
  • English
  • Français

Missed acute isolated peroneal compartment syndrome

Published online by Cambridge University Press:  21 May 2015

Sudesh Ebenezer  and
William Dust
Sudesh Ebenezer
Affiliation:
Division of Orthopaedics, University of Saskatchewan, Saskatoon, Sask.
William Dust*
Affiliation:
Division of Orthopaedics, University of Saskatchewan, Saskatoon, Sask.
*
Division of Orthopaedics, University of Saskatchewan, Royal University Hospital, 103 Hospital Dr., Saskatoon SK S7N 0W8; 306 966-8199, fax 306 966-8196, [email protected]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This paper outlines 3 cases of acute isolated peroneal (lateral) compartment syndrome following exertion, minor trauma or overuse. Compartment syndromes are usually associated with crush injuries or fractures; they are an uncommon development following minor trauma or overuse. In acute isolated peroneal compartment syndrome the diagnosis is often delayed, resulting in permanent impairment. Persistent or worsening pain following a minor injury or overuse is typical, and the initial physical findings are often nonspecific, although swelling and tenderness out of proportion to the described injury are common. Marked increase in pain with passive inversion and dorsiflexion of the ankle should suggest the diagnosis. In cases that present late or where the diagnosis is initially missed, there is often a common peroneal nerve palsy. As with all compartment syndromes, prompt diagnosis and surgical decompression is necessary to prevent permanent impairment.

Keywords

Peroneal compartment syndrome
Type
Case Report • Observations de Cas
Information
Canadian Journal of Emergency Medicine , Volume 4 , Issue 5 , September 2002 , pp. 355 - 358
Copyright
Copyright © Canadian Association of Emergency Physicians 2002

References

1.Whitesides, TE Jr, Heckman, MM.Acute compartment syndrome: update on diagnosis and treatment. J Am Acad Orthop Surg 1996;4:209–18.Google Scholar
2.Reneman, R.The anterior and lateral compartmental syndrome of the leg due to intensive use of muscles. Clin Orthop 1975;113:69–80.Google Scholar
3.Matsen, FA III.Compartmental syndrome: an unified concept. Clin Orthop 1975;113:8–14.Google Scholar
4.Rorabeck, CH, MacNab, I.The pathophysiology of the anterior tibial compartmental syndrome. Clin Orthop 1975;113:52–7.Google Scholar
5.Lipscomb, AB, Ibrahim, AA.Acute peroneal compartment syndrome in a well conditioned athlete: report of a case. Am J Sport Med 1977;5:154–7.CrossRefGoogle Scholar
6.Blasier, D, Barry, RJ, Weaver, T.Forced march-induced peroneal compartment syndrome: a report of two cases. Clin Orthop 1992;284:189–92.Google Scholar
7.Watson, JT.Compartment syndrome. In: Orthopedic Knowledge Update 6. Rosemont (IL): American Academy of Orthopaedic Surgeons; 1999. p. 530–1.Google Scholar
8.McQueen, MM, Court-Brown, CM.Compartment monitoring in tibial fractures: the pressure threshold for decompression. J Bone Joint Surg [Br] 1996;78:99–104.Google Scholar
9.Matsen, FA III, Winquitst, RA, Krugmire, RB Jr. Diagnosis and management of compartmental syndromes. J Bone Joint Surg [Am] 1980;62:286–91.Google Scholar
10.Davies, JAK.Peroneal compartment syndrome secondary to rupture of the peroneus longus: a case report. J Bone Joint Surg [Am] 1979;61:783–4.CrossRefGoogle ScholarPubMed
11.Nicholson, P, Devitt, A, Stevens, M, Mahalingum, K.Acute exertional peroneal compartmental syndrome following prolonged horse riding. Injury 1998;29:643–4.CrossRefGoogle ScholarPubMed
12.Edwards, PW.Peroneal compartment syndrome: report of a case. J Bone Joint Surg [Br] 1969;51:123–5.Google Scholar
13.Arancio, O, Bongiovanni, LG, De Grandis, D.Acute peroneal compartment syndrome: report of a case. Eur Neurol 1985;24:69–72.Google Scholar
14.Atkinson, DR, Krause, BL.Acute peroneal compartment syndrome [letter]. N Z Med J 1984;97:740.Google Scholar
15.Goodman, MJ.Isolated lateral-compartment syndrome. Report of a case. J Bone Joint Surg [Am] 1980;62(5):834.CrossRefGoogle ScholarPubMed