Delayed presentation of compartment syndrome of the thigh secondary to quadriceps trauma and vascular injury in a soccer athlete

Abstract

HighlightsOur case the difficulty of differentiating severe quadriceps contusion from thigh compartment syndrome.We ed the response of thigh musculature to blunt trauma.Clinicians should be aware of vascular injury as a cause of thigh compartment syndrome in sports trauma. Vascular examination is warranted in all cases of quadriceps injury.MRI findings of deep thigh muscle swelling and “blow-out” tear of the vastus lateralis are strongly suggestive of severe quadriceps injury, and may be a harbinger of delayed thigh compartment syndrome.

Pseudoaneurisma e fístula arteriovenosa da artéria femoral profunda após rotura completa do músculo vasto medial: tratamento endovascular

“…Para o diagnóstico por imagem, a ecografia Doppler é considerada como o exame inicial após a suspeição diagnóstica do pseudoaneurisma, por ser um método não invasivo 2,5,9,10,11 . A angiotomografia é considerada como o método de diagnóstico por imagem após a suspeição clínica 3,7,8,13 . A angiografia foi o método mais utilizado na literatura porque era o método de imagem mais utilizado na época em que os casos foram descritos, quando os exames não invasivos ainda não eram rotina na maioria dos serviços médicos 1 .…”

“…How et al, em 2015, descreveram um caso de síndrome compartimental em jogador de futebol, associada a volumoso hematoma do vasto intermédio, em que encontraram, durante a fasciotomia, a rotura parcial de veia femoral profunda, corrigida cirurgicamente 13 . Tanto nesse caso quanto no caso aqui descrito, havia lesão muscular, hematoma volumoso do vasto intermédio e lesão vascular, sendo que, no caso descrito, além da lesão venosa, havia uma lesão arterial, gerando, assim, o pseudoaneurisma e a FAV 13 .…”

Lower Extremity Compartment Syndrome in National Football League Athletes

“…Acknowledging the possibility of underreporting during the early years of this study, this is an interesting and surprising finding, as thigh compartment syndrome has been previously reported in nonprofessional football players 4,20,27 and in other contact sports, including rugby 29,32,37 and soccer. 10,16 This is likely, at least, partially attributable to a league requirement that all players wear anterior thigh pads during contact practices and games. While there have been no reported cases of thigh compartment syndrome among NFL players to date, it must be a consideration for a player presenting with signs and symptoms consistent with this diagnosis after a direct blow to the thigh.…”

Segmental decompressive fasciotomy for acute non-traumatic compartment syndrome in a professional soccer player: case report

“…The service in which he was initially treated did not have intracompartmental pressure evaluation methods, which would have helped in the diagnosis and consequently led to earlier treatment. In published literature, 2 , 3 non-traumatic compartment syndrome in athletes is often diagnosed late, which is explained by the rarity of this condition and presence of other more common differential diagnoses. Because the patient is an elite athlete, a minimally invasive anterolateral fasciotomy was performed, with four small incisions and total fascia release.…”