Concomitant Gluteal and Thigh Compartment Syndrome Following Atraumatic Injury

McNamee, Molly M; Wolfers, Matthew; Faour, Mhamad; Montorfano, Lisandro; Bordes, Stephen J

doi:10.7759/cureus.17009

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…To the best of our knowledge, there are few reports on concomitant gluteal and thigh compartment syndromes [ 12 , 13 ]. McNamee et al report a case of concomitant gluteal and thigh compartment syndrome following prolonged immobilization secondary to alcohol and intravenous drug intoxication [ 12 ]. The intramuscular compartment pressures in the right buttock and lateral right thigh were elevated at 50 mmHg and 48 mmHg, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Compartment syndrome is often caused by traumatic fractures (approximately 75%) [ 4 ] but can also be caused by vascular injury, prolonged compression, ischemia, or venous thrombosis [ 8 – 11 ]. Several case reports of compartment syndrome occurring simultaneously in multiple anatomical regions have been published [ 12 , 13 ], but the frequency and preferred site remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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Treatment strategy for compartment syndrome at multiple regions due to injuries caused by a tree fall: a case report

Miura,

Miyake,

Okada

et al. 2024

Int J Emerg Med

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Background Compartment syndrome commonly occurs in patients with forearm and lower leg fractures. Compartment syndromes of the gluteal and thigh muscles are less common. It is imperative that compartment syndrome be diagnosed and treated with fasciotomy as soon as possible. However, there are few reports on the diagnosis and treatment strategies for compartment syndromes that occur simultaneously in multiple anatomical regions or in the ipsilateral gluteal region and thigh. Case presentation We report on a 76-year-old man who was obliquely crushed under a tree extending from the right forearm to the left groin. He was brought to our emergency room, where he was diagnosed with compartment syndrome of the right forearm and left lower leg and crush syndrome. Emergency fasciotomy was performed. On the day after admission, swelling and tightness of the left gluteal thigh became apparent, and intracompartmental pressures were elevated, which led to an additional diagnosis of these compartment syndromes. A fasciotomy was performed, the gluteal skin incision was made according to the Kocher–Langenbeck approach (one of the posterior approaches for hip fractures), and the thigh was approached by extending the incision laterally. This surgical approach enabled the decompression of the compartments through a single incision and allowed for easier wound treatment and closure. Conclusion This case highlights the diagnosis and treatment of compartment syndrome in four anatomical regions. Extension of the Kocher–Langenbeck approach to the lateral thigh can be a useful surgical approach for ipsilateral gluteal and thigh compartment syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment strategy for compartment syndrome at multiple regions due to injuries caused by a tree fall: a case report

Miura,

Miyake,

Okada

et al. 2024

Int J Emerg Med

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, there are few reports on concomitant gluteal and thigh compartment syndromes [19,20]. The most appropriate surgical approach for ipsilateral gluteal and thigh compartment syndrome remains unknown.…”

Section: Treatment Strategy For Gluteal and Thigh Compartment Syndromementioning

confidence: 99%

Treatment Strategy for Compartment Syndrome at Multiple Regions due to Injuries Caused by a Tree Fall: A Case Report

Miura,

Miyake,

Okada

et al. 2024

Preprint

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Background Compartment syndrome commonly occurs in patients with forearm and lower leg fractures. Compartment syndromes of the gluteal and thigh muscles are less common. It is imperative that compartment syndrome be diagnosed and treated with fasciotomy as soon as possible. However, there are few reports on the diagnosis and treatment strategies for compartment syndromes that occur simultaneously in multiple anatomical regions or in the ipsilateral gluteal region and thigh. Case presentation: We report on a 76-year-old man who was obliquely crushed under a tree extending from the right forearm to the left groin. He was brought to our emergency room, where he was diagnosed with compartment syndrome of the right forearm and left lower leg, and crush syndrome. Emergency fasciotomy was performed. On the day after admission, swelling and tightness of the left gluteal thigh became apparent, and intracompartmental pressures were elevated, which led to an additional diagnosis of these compartment syndromes. A fasciotomy was performed, the gluteal skin incision was made according to the Kocher-Langenbeck approach (one of the posterior approaches for hip fractures), and the thigh was approached by extending the incision laterally. This surgical approach enabled the decompression of the compartments through a single incision and allowed for easier wound treatment and closure. Conclusion This case highlights the diagnosis and treatment of compartment syndrome in four anatomical regions. Extension of the Kocher-Langenbeck approach to the lateral thigh can be a useful surgical approach for ipsilateral gluteal and thigh compartment syndrome.

show abstract

“…Gluteal compartment syndrome (GCS) is a rare diagnosis and results mostly from a non-traumatic case such as prolonged surgery, substance abuse, or drug overdose [ [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] ]. Carbon monoxide poisoning as a cause of gluteal compartment syndrome is rarely reported in the literature [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Gluteal compartment syndrome secondary to prolonged immobilization following carbon monoxide poisoning associated with leukoencephalopathy: A case report

Shujauddin,

Hantouly,

Moghamis

et al. 2024

Heliyon

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Concomitant Gluteal and Thigh Compartment Syndrome Following Atraumatic Injury

Cited by 3 publications

References 8 publications

Treatment strategy for compartment syndrome at multiple regions due to injuries caused by a tree fall: a case report

Treatment strategy for compartment syndrome at multiple regions due to injuries caused by a tree fall: a case report

Treatment Strategy for Compartment Syndrome at Multiple Regions due to Injuries Caused by a Tree Fall: A Case Report

Gluteal compartment syndrome secondary to prolonged immobilization following carbon monoxide poisoning associated with leukoencephalopathy: A case report

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