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
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author O’Neill, Conor N.
Johnsen, Parker H.
Stefanski, James T.
Toney, Clarence Brian
author_facet O’Neill, Conor N.
Johnsen, Parker H.
Stefanski, James T.
Toney, Clarence Brian
author_sort O’Neill, Conor N.
collection PubMed
description 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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spelling pubmed-83773032021-08-21 Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete O’Neill, Conor N. Johnsen, Parker H. Stefanski, James T. Toney, Clarence Brian Geriatr Orthop Surg Rehabil Original Manuscript 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. SAGE Publications 2021-08-18 /pmc/articles/PMC8377303/ /pubmed/34422438 http://dx.doi.org/10.1177/21514593211036234 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Manuscript
O’Neill, Conor N.
Johnsen, Parker H.
Stefanski, James T.
Toney, Clarence Brian
Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_full Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_fullStr Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_full_unstemmed Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_short Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_sort acute compartment syndrome after isolated soleus tear in an elderly recreational athlete
topic Original Manuscript
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377303/
https://www.ncbi.nlm.nih.gov/pubmed/34422438
http://dx.doi.org/10.1177/21514593211036234
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