Sequelae of Underdiagnosed Foot Compartment Syndrome after Calcaneal Fractures

Complications of Intra-articular Calcaneal Fractures in Adults

“…The diagnosis of the syndrome is mainly clinical. 33 Diagnostic tools, such as compartment pressure monitoring, can help confirm the diagnosis, but under no circumstances should they substitute clinical evaluation. The main clinical manifestation of the syndrome is pain, which is not proportional to the injury, and other findings, such as pain during passive toe movement, severe swelling, ecchymosis, paresthesia, and sensory disturbances.…”

“…The prevention of early complications, such as swelling, fracture blisters, and compartment syndrome, requires close monitoring, early recognition, and intervention. 33 The prognostic factors that are affected by the surgeon include the anatomic reduction of the fracture, the overall shape of the calcaneus, and the congruity of the articular surfaces. The gentle manipulation of soft tissue injuries seems to reduce the infection rates and improve the functional results.…”

Non-Necrotizing Streptococcal Cellulitis as a Cause of Acute, Atraumatic Compartment Syndrome of the Foot: A Case Report

“…The complications associated with compartment syndrome are related to ischemic injury and include muscle necrosis, contractures, infection, prolonged and/or chronic pain, delayed healing, soft tissue death, and, in severe cases, amputation or death (1,8,19,21). Different intervals have been set for tissue damage to occur; however, it appears that damage occurs when perfusion has been eliminated.…”

Foot Compartment Syndrome Controversy

“…Failure or delay to diagnose acute compartment syndrome may lead to irreparable soft-tissue damage and poor long-term function [3,7,22,33]. Controversy exists regarding acute versus delayed management of FCS.…”