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Abstract
Orthoplastic Surgery & Orthopedic Care International Journal
Atraumatic Isolated Peroneal Compartment Syndrome
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Open or CloseMohamed Nagy1,2*, Neil Ashwood3,4, Veda Amara5 and Amit Kotecha6
1Trauma and Orthopedics Lecturer, Orthopaedic Surgery Department, Cairo University Kasr Alainy Faculty of Medicine, Egypt
2Trauma and Orthopaedics Department, Queens Burton Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, UK
Honorary Professor, Research institute, University of Wolverhampton, UK
4Trauma and Orthopaedics Department, Trauma and Orthopaedics-Upper Limb Consultant, Queens Burton Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, UK
5Senior Clinical Fellow, Trauma and Orthopaedics Department, University Hospitals Sussex NHS Foundation Trust, UK
6Trauma and Orthopaedics-Lower limb reconstruction Consultant, University Hospitals Birmingham, UK
*Corresponding author:Mohamed Nagy, Trauma and Orthopedics Lecturer, Cairo University Kasr Alainy Faculty of Medicine, Orthopaedic Surgery Department, Egypt and Trauma and Orthopaedics Department, Queens Burton Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, UK
Submission: November 1, 2022; Published: November 11, 2022
ISSN: 2578-0069Volume2 Issue5
Abstract
26-year-old male presented with leg lateral aspect pain with numbness over foot dorsum lateral aspect for 6 hours after rugby training with no trauma. Slight peroneal compartment tightness with negative stretch test. Creatine kinase 4659U/L. Peroneal compartment discomfort was worsening, fasciotomy of all leg compartments was done with only lateral peroneal compartment affected. Sensory changes in presentation highlights the importance of having a high index of suspicion. One could use biochemical markers aiding decision making on borderline situations, however we advise decompression in these cases. Although the patient had uneventful postoperative recovery, having ICP monitoring equipment or MRI would prevent overzealous opening of posterior compartment.
Abbreviations: Atraumatic; Isolated peroneal compartment; Compartment syndrome
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