Acute compartment syndrome of the foot due to a twisting injury while playing sports

Acute compartment syndrome (ACS) of the foot is one of the most severe injuries of the foot and typically results from a fracture, crush or vascular injury. ACS, isolated to a single foot compartment, is a rare complication following a simple twisting injury of the ankle. In this article, the author...

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Bibliographic Details
Published in:BMJ case reports 2020-10, Vol.13 (10), p.e232541
Main Authors: Hijazi, Humayun, O'Reilly, Marc, Moloney, Darren Patrick, Bayer, Thomas
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Anesthesia
Ankle
Ankle Injuries - complications
Ankle Injuries - diagnosis
Ankle Injuries - surgery
ankle sprains
Athletic Injuries - complications
Athletic Injuries - diagnosis
Athletic Injuries - surgery
Case reports
Compartment syndrome
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Compartment Syndromes - surgery
Exercise
Fasciotomy - methods
Fractures
Humans
Injuries
Ligaments
Male
orthopaedics
Pain
Radiography
sports and exercise medicine
trauma
Unusual Association of Diseases/Symptoms
Veins & arteries
X-rays
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Description
Summary:Acute compartment syndrome (ACS) of the foot is one of the most severe injuries of the foot and typically results from a fracture, crush or vascular injury. ACS, isolated to a single foot compartment, is a rare complication following a simple twisting injury of the ankle. In this article, the authors present the case report of a 25-year-old man who developed ACS, isolated to the lateral compartment of the foot, secondary to rupture of the lateral ligament complex and subsequent haematoma formation. An emergency fasciotomy was performed and the patient had complete resolution of his symptoms. ACS is usually associated with significant trauma, however, there are reported cases in the literature associated with a minor injury. In this case report, the authors describe how ACS developed following a simple ankle sprain playing sports in the absence of a high-energy insult or fracture.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2019-232541