Acute Well-Leg Compartment Syndrome After Meniscal Allograft Transplantation and Revision ACL Reconstruction

Abstract

Case: A 17-year-old adolescent boy presented with continued knee pain, swelling, and mechanical symptoms after anterior cruciate ligament (ACL) reconstruction with partial meniscectomy. The patient eventually underwent ACL revision surgery that was without complications. Postoperatively, the well leg grew firm with associated neurological deficits, and physical examination confirmed compartment syndrome of the lower leg compartments that resolved with emergency fasciotomy. The patient proceeded on normal postoperative course. Conclusion:Compartment syndrome of the well leg is a rare complication in the field of sports medicine, owing to the relatively healthy and young demographic, but providers should nonetheless be vigilant to prevent disastrous sequalae.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B811).

Atraumatic Idiopathic Compartment Syndrome Requiring Emergent Fasciotomy: A Case Report and Literature Review

“…Compartment syndrome is a surgical emergency as delay in treatment can result in an increased likelihood of adverse outcomes such as higher rates of morbidity and mortality. While trauma is the most common cause of ACS with an associated fracture in 69% of patients [6], a variety of atraumatic etiologies have been identified in the literature, including prolonged immobilization secondary to substance abuse, loss of consciousness, or operative procedure [7][8][9]; long-standing uncontrolled diabetes [10]; use of anticoagulation medication [11]; or an undiagnosed bleeding disorder [12]. The average time from symptom onset to diagnosis of ACS in patients without a fracture is approximately two days, similar to what was seen in the current presentation [13].…”

Contralateral Gluteal Compartment Syndrome After Prolonged Use of a Fracture Table in a Scissoring Position

“…Compartment syndrome of the uninjured limb without direct trauma is rare 7 . It has been reported in urologic, gynecologic, and general surgery literature related to lithotomy positioning, particularly in longer procedures 8 . ACS of the contralateral lower extremity is rare in orthopaedic procedures.…”