Acute compartment syndrome of the thigh in a rugby player

In 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...

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Bibliographic Details
Published in:BMJ case reports 2015-08, Vol.2015, p.bcr2015210856
Main Authors: Smith, Richard David James, Rust-March, Holly, Kluzek, Stefan
Format: Article
Language:English
Subjects:
Adult
Athletic Injuries - complications
Compartment syndrome
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Emergency medical care
Europe (West)
Fascia - injuries
Fasciotomy
Football - injuries
Humans
Male
Muscles
Pain
Rare Disease
Risk Factors
Rugby
Skin
Thigh - injuries
Trauma
White
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Summary:In 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.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2015-210856