Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete

CASE: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the...

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Detalles Bibliográficos
Autores principales: O’Neill, Conor N., Johnsen, Parker H., Stefanski, James T., Toney, Clarence Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Original Manuscript
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377303/
https://www.ncbi.nlm.nih.gov/pubmed/34422438
http://dx.doi.org/10.1177/21514593211036234
Descripción
Sumario:CASE: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the lack of a typical mechanism or fracture. Compartment pressures were measured and found to be significantly elevated. He underwent compartment releases revealing a medial soleus tear with 400–500 cc hematoma. CONCLUSION: The case presents a patient with ACS after a soleus muscle tear. Prompt recognition and fasciotomy led to a good clinical outcome. Physicians should recognize that not only gastrocnemius tears can lead to compartment syndrome.

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