Abstract
A 13-year-old male sustained closed diaphyseal tibia and fibula fracture. Due to the inability to maintain reduction and presence of open physes, he underwent closed reduction and flexible nail fixation. Initially, the patient’s leg compartments were soft and supple, but postoperatively, he developed increasing pain with paresthesias and was diagnosed clinically with leg compartment syndrome. Intraoperative compartment pressures confirmed the clinical diagnosis requiring four-compartment leg fasciotomy. He later underwent delayed closure.
References and Suggested Reading
Bae DS, Kadiyala RK, Waters PM (2001) Acute compartment syndrome in children: contemporary diagnosis, treatment and outcome. J Pediatr Orthop 21:680–688
Ebraheim NA, Siddiqui S, Raberding C (2016) A single-incision fasciotomy for compartment syndrome of the lower leg. J Orthop Trauma 30(7):e252–e255
Heckman MM, Whitesides ET, Grewe SR et al (1994) Compartment pressure in association with closed tibia fractures. J Bone Surg 76:1285–1292
Howard JL, Agel J, Barei D, et al. (2006) Challenging the dogma of the 7-cm rule: a prospective study evaluating incision placement and wound healing for tibial platfond fractures. Presented at Orthopaedic Trauma Association annual meeting, Phoenix, 5–7 Oct 2006
Kakar S, Firoozabadi R, McKean J et al (2007) Diastolic blood pressure in patients with tibia fractures under anaesthesia: implications for the diagnosis of compartment syndrome. J Orthop Trauma 21:99–103
Maheshwari R, Taitsman LA, Barei DP (2008) Single-incision fasciotomy for compartmental syndrome of the leg in patients with diaphyseal tibial fractures. J Orthop Trauma 22(10):723–730
Noonan KJ, McCarthy JJ (2010) Compartment Syndromes in the Pediatric Patient. J Pediatr Orthop 30:S96–S101
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Stepanovich, M., Slakey, J.B. (2018). Compartment Syndrome of the Leg. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_130-1
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DOI: https://doi.org/10.1007/978-3-319-28226-8_130-1
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Publisher Name: Springer, Cham
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