Bilateral Medial Foot Compartment Syndrome after an Aerobics Class: A Case Report

Lam, Suet Kam; McAlister, Jeffrey E.; Oliver, Noah G.; Pontell, David

doi:10.1053/j.jfas.2012.04.006

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Once the diagnosis of compartment syndrome was made, the patient was brought to the operating room for fasciotomy over the medial compartment of the foot. This treatment is consistent with 8 of the 9 other reported cases of atraumatic exertional medial compartment syndrome of the foot [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ].…”

Section: Discussionsupporting

confidence: 90%

“…Acute compartment syndrome of the foot typically presents due to a high-energy bony or soft-tissue injury [ 10 ]. Much less common is the presentation secondary to exertional injury, with only eight cases in the medial compartment of the foot [ 3 , 4 , 5 , 6 , 7 , 8 , 10 ]. This case represents the third after playing basketball, while others presented after soccer, a marathon, rugby practice, aerobics class, and a football game [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Atraumatic exertional compartment syndrome of the medial foot presents a challenging clinical diagnosis as few cases have been reported in the literature [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ]. However, timely identification of this condition decreases the risk of ischemic injury and its sequela.…”

Section: Discussionmentioning

confidence: 99%

“…Case review found only nine similarly reported cases dating back to 1995. Of these cases, eight were exertional and one resulted as an unusual complication of spine surgery [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Atraumatic Exertional Compartment Syndrome of the Medial Foot: Case Report

Diedring¹,

Bandovic²,

Cotter³

et al. 2023

JOCR

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Introduction: Acute compartment syndrome is a surgical emergency that is mainly diagnosed clinically. Acute exertional compartment syndrome of the medial compartment of the foot is a rare condition most often result from strenuous exercise. Early diagnosis is most often a clinical examination, however, laboratory and magnetic resonance imaging (MRI) can assist in the diagnosis if clinician uncertainty persists. We present a case report of acute exertional compartment syndrome of the medial compartment of the foot after physical activity. Case Report: A 28-year-old male presents to the emergency department the day after playing basketball, with severe atraumatic medial foot pain. Clinical examination demonstrated tenderness and swelling over the medial arch of the foot. Creatine phosphokinase (CPK) results at 9500 international units. MRI demonstrated fusiform edema of the abductor hallucis. Subsequent fasciotomy revealed protruding muscle during fascial incision and relieved the patient of their pain. Return to surgery 48 h after initial fasciotomy revealed gray discoloration and lack of contractility of the muscle tissue. The patient was recovering well at the first post-operative visit, however, was lost to follow-up thereafter. Conclusion: Acute exertional compartment syndrome of the medial compartment of the foot is a rarely reported diagnosis, likely due to a combination of missed diagnosis and underreporting. Laboratory tests for CPK may be elevated, and MRI may be helpful in the diagnosis of this condition. Fasciotomy of the medial compartment of the foot relieved the patient’s symptoms, and to our knowledge had a good outcome. Keywords: Compartment syndrome, foot, medial compartment, abductor halluces.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Atraumatic Exertional Compartment Syndrome of the Medial Foot: Case Report

Diedring¹,

Bandovic²,

Cotter³

et al. 2023

JOCR

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“…Although the diagnosis of ACS is difficult, it can be supported by ICP measurements and elevated levels of CK [16] . ICP of muscles is normally 10 mm Hg at rest, and values ranging from 30 to 50 mm Hg have been suggested to diagnose ACS [4] .…”

Section: Discussionmentioning

confidence: 99%

Spectral Doppler findings in a rare case of acute compartment syndrome following leg burn

Mahmoud¹,

Mahmoud

2018

Radiology Case Reports

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Acute compartment syndrome (ACS) is an orthopedic emergency condition, which is rarely attributed to burns. It occurs when pressure in an enclosed space rises to a point where it reduces blood flow and impairs tissue perfusion. Its consequences often lead to ischemia and possible necrosis within that space. Until now, the use of Doppler assessment to explore different types of compartment syndrome has yielded contradictory findings. Here, we present a significant increase of blood flow velocity in the arteries proximal to the burned area. Thus, the combination of Duplex ultrasound results with clinical findings will help vascular surgeons to make immediate decision to perform fasciotomy.

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