Spontaneous Compartment Syndrome of the Thigh in the Absence of Trauma

Spontaneous acute forearm compartment syndrome: Case report of a clinical diagnosis with limited imaging options

“…ACS can occur several months or even years after the trauma [8] . Idiopathic spontaneous ACS is an uncommon occurrence [3 , 4] . The term ‘spontaneous’ compartment syndrome has been used to suggest a non-traumatic cause such as diabetes mellitus, nephrotic syndrome, hypothyroidism, and secondary medication [8] .…”

“…Therefore, as little time as possible should be spent confirming the diagnosis [1] . Idiopathic spontaneous ACS is an uncommon occurrence [3 , 4] .…”

Use of Recombinant Factor VIIa for Bleeding Control in Treatment of Acute Extremity Compartment Syndrome Secondary to Primary Myelofibrosis

“…A ECS is a potentially limb-threatening condition, which frequently occurs secondary to major trauma such as crush injuries or high-energy tibial plateau fractures 7 . In the absence of trauma, it is particularly rare but can occur spontaneously 8,9 . Consequently, orthopaedic surgeons may fail to consider unusual in the differential diagnosis of a patient with acute onset leg pain without a history of trauma-especially if the classical symptoms of compartment syndrome are not yet fully established at the time of presentation.…”

Do not pay attention on obvious leg compartment syndrome only. Think deeper in case of heroin abusers

“…Heroin addiction is known to cause various medical complications, such as rhabdomyolysis and compartment syndrome. 1 Peripheral nerves may sometimes be injured during unconscious states, following heroin abuse and rhabdomyolysis, especially when the patient develops compartment syndrome. 2 Under other circumstances, rhabdomyolysis and acute pancreatitis may lead to abdominal compartment syndrome, which is a life-threatening condition.…”

“…Forel and colleagues identified many factors pushing trainees away from surgical training, including burnout, lifestyle factors, family reasons, financial burden and inflexibility in training schemes. 1 However, they gave less consideration to factors pulling individuals towards careers outside of surgery.…”