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Case Report
Acute Compartment Syndrome of the Thigh Caused by Contusion: 4 Cases Report
Oog-Jin Shon, M.D., Gi-Beom Kim, M.D., Chul-Hyun Park, M.D.
Journal of the Korean Fracture Society 2012;25(3):215-218.
DOI: https://doi.org/10.12671/jkfs.2012.25.3.215
Published online: July 16, 2012

Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Address reprint requests to: Chul-Hyun Park, M.D. Department of Orthopedic Surgery, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3640, Fax: 82-53-628-4020, chpark77@naver.com
• Received: January 16, 2012   • Revised: February 27, 2012   • Accepted: May 21, 2012

Copyright © 2012 The Korean Fracture Society

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  • Acute compartment syndrome of the thigh, which usually occurs in the anterior compartment, is a rare condition. It can have various causes including femur fractures, vessel injury, pseudoaneurysm of the femoral or popliteal artery, and use of anticoagulant. However, there have been few reports of acute compartment syndrome of the thigh without fracture caused by blunt trauma. We report 4 cases of acute compartment syndrome of the thigh without fracture caused by blunt trauma, in which three patients were treated with fasciotomy and a Vacuum-Assisted wound Closure system and the other one had a delayed diagnosis, and eventually underwent above-knee amputation.
  • 1. Burns BJ, Sproule J, Smyth H. Acute compartment syndrome of the anterior thigh following quadriceps strain in a footballer. Br J Sports Med, 2004;38:218-220.
  • 2. Gorman PW, McAndrew MP. Acute anterior compartmental syndrome of the thigh following contusion. A case report and review of the literature. J Orthop Trauma, 1987;1:68-70.
  • 3. Mithoefer K, Lhowe DW, Vrahas MS, Altman DT, Erens V, Altman GT. Functional outcome after acute compartment syndrome of the thigh. J Bone Joint Surg Am, 2006;88:729-737.
  • 4. Mithöfer K, Lhowe DW, Vrahas MS, Altman DT, Altman GT. Clinical spectrum of acute compartment syndrome of the thigh and its relation to associated injuries. Clin Orthop Relat Res, 2004;(425):223-229.
  • 5. Rööser B, Bengtson S, Hägglund G. Acute compartment syndrome from anterior thigh muscle contusion: a report of eight cases. J Orthop Trauma, 1991;5:57-59.
  • 6. Suzuki T, Moirmura N, Kawai K, Sugiyama M. Arterial injury associated with acute compartment syndrome of the thigh following blunt trauma. Injury, 2005;36:151-159.
  • 7. Ulmer T. The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of the disorder? J Orthop Trauma, 2002;16:572-577.
  • 8. Viegas SF, Rimoldi R, Scarborough M, Ballantyne GM. Acute compartment syndrome in the thigh. A case report and a review of the literature. Clin Orthop Relat Res, 1988;(234):232-234.
  • 9. Whitesides TE, Haney TC, Morimoto K, Harada H. Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop Relat Res, 1975;(113):43-51.
Fig. 1
Pre-operative radiographs show soft tissue swelling without fracture around the distal femur.
jkfs-25-215-g001.jpg
Fig. 2
(A) Photograph taken postoperatively shows decompressive fasciotomy using a single-incision technique on the left lateral thigh. Photographs taken 3 days (B) and 7 days post-operatively (C) show reduced soft tissue swelling. (D) Photograph taken 10 days post-operatively shows delayed wound closure.
jkfs-25-215-g002.jpg

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    • A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome
      Min Jung Ji, Seong Chul Lim, Jae Soo Kim, Hyun Jong Lee, Yun Kyu Lee
      The Acupuncture.2015; 32(3): 197.     CrossRef
    • Clinical Outcomes of Fasciotomy for Acute Compartment Syndrome
      Ji Yong Park, Young Chang Kim, Ji Wan Kim
      Journal of the Korean Fracture Society.2015; 28(4): 223.     CrossRef

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      Acute Compartment Syndrome of the Thigh Caused by Contusion: 4 Cases Report
      J Korean Fract Soc. 2012;25(3):215-218.   Published online July 31, 2012
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    Acute Compartment Syndrome of the Thigh Caused by Contusion: 4 Cases Report
    Image Image
    Fig. 1 Pre-operative radiographs show soft tissue swelling without fracture around the distal femur.
    Fig. 2 (A) Photograph taken postoperatively shows decompressive fasciotomy using a single-incision technique on the left lateral thigh. Photographs taken 3 days (B) and 7 days post-operatively (C) show reduced soft tissue swelling. (D) Photograph taken 10 days post-operatively shows delayed wound closure.
    Acute Compartment Syndrome of the Thigh Caused by Contusion: 4 Cases Report

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