Quadriceps contusion with compartment syndrome. Evacuation of hematoma in 2 cases.
A high intramuscular pressure due to contusion with hematoma developed in the thigh of 2 athletes after moderate blunt muscle trauma. The pain became severe a few hours after the trauma. In both patients a fasciotomy and evacuation of the hematoma was performed. In 1 of the patients, a computed tomogram verified the hematoma preoperatively. The postoperative course was uneventful. A compartment syndrome associated with a major hematoma should be considered as a cause of progressive pain at rest after blunt muscle trauma.
D000328:Adult; D001265:Athletic Injuries / Q000150:complications*; D003161:Compartment Syndromes / Q000209:etiology*; D006406:Hematoma / Q000150:complications* / Q000209:etiology; D006801:Humans; D008297:Male; D013848:Thigh; D014949:Wounds, Nonpenetrating / Q000150:complications*