Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지
DOI QR코드

DOI QR Code

Delayed Treatment of Foot Compartment Syndrome: A Case Report and Literature Review

족부 구획증후군의 지연치료: 증례 보고

  • Jang, Jihoon (Department of Orthopaedic Surgery, Kosin University College of Medicine) ;
  • Choi, Young (Department of Orthopaedic Surgery, Kosin University College of Medicine)
  • 장지훈 (고신대학교 의과대학 정형외과학교실) ;
  • 최영 (고신대학교 의과대학 정형외과학교실)
  • Received : 2020.09.04
  • Accepted : 2020.12.14
  • Published : 2021.03.15
Download PDF
⟨ Previous Next ⟩

Abstract

Acute compartment syndrome occurs when pressure increases within closed compartments due to injuries causing soft tissue damage. Delayed treatment can lead to undesirable consequences. This paper reports a three-year-old patient in whom a fasciotomy was performed successfully despite the potential side effects. Fasciotomy may be considered when the diagnosis and clinical symptoms of delayed compartment syndrome are clear. This study determined that the three-year-old patient would undergo a relatively smooth recovery compared to elderly patients of advanced age. Because the dorsalis pedis artery pulse was palpable, an emergency surgical treatment was performed to restore the damaged tissues and prevent further necrosis. The patient has shown a satisfactory recovery.

Keywords

References

  1. Oh CW, Lee HJ. Acute compartment syndrome after trauma. J Korean Fract Soc. 2010;23:399-403. doi: 10.12671/jkfs.2010.23.4.399.
  2. Chae SU. Acute compartment syndrome of the lower leg and foot. J Korean Foot Ankle Soc. 2013;17:165-73.
  3. Fulkerson E, Razi A, Tejwani N. Review: acute compartment syndrome of the foot. Foot Ankle Int. 2003;24:180-7. doi: 10.1177/107110070302400214.
  4. Court-Brown C, McQueen M. Compartment syndrome delays tibial union. Acta Orthop Scand. 1987;58:249-52. doi: 10.3109/17453678709146477.
  5. Sheridan GW, Matsen FA 3rd. Fasciotomy in the treatment of the acute compartment syndrome. J Bone Joint Surg Am. 1976;58:112-5. https://doi.org/10.2106/00004623-197658010-00020
  6. Volkman R. [Ischemic muscle paralysis and contractures]. Zentralbl Chir. 1881;8:801-3. German.
  7. Schreiber SN, Liebowitz MR, Bernstein LH. Limb compression and renal impairment (crush syndrome) following narcotic and sedative overdose. J Bone Joint Surg Am. 1972;54:1683-92. https://doi.org/10.2106/00004623-197254080-00008
  8. Reis ND, Better OS. Mechanical muscle-crush injury and acute muscle-crush compartment syndrome: with special reference to earthquake casualties. J Bone Joint Surg Br. 2005;87:450-3. doi: 10.1302/0301-620X.87B4.15334.
  9. Matsen FA 3rd. Compartmental syndrome. An unified concept. Clin Orthop Relat Res. 1975;(113):8-14.
  10. Ernst CB, Kaufer H. Fibulectomy-fasciotomy. An important adjunct in the management of lower extremity arterial trauma. J Trauma. 1971;11:365-80. https://doi.org/10.1097/00005373-197105000-00001