Compartment syndrome of the calf and foot following a displaced Salter-Harris type II fracture of the distal tibia: a review of the literature and a case report.
A 14 year-old boy with an epiphyseal fracture of the distal right tibia and fibula developed compartment syndrome of the calf and foot. The diagnosis of compartment syndrome was delayed and a fasciotomy resulted in uncontrolled infection, which ultimately resulted in an above knee amputation. Constant vigilance is necessary in uncooperative or non-complaining patients to detect the signs and symptoms of compartment syndrome, even where the injury is not often associated with this complication. The difficulties in management, following a fasciotomy for delayed diagnosis of compartment syndrome, are discussed.
Yeap
J S
JS
Faculty of Medicine, Universiti Putra Malaysia, Jalan Pahang, Kuala Lumpur.
Fazir
M
M
Ezlan
S
S
Kareem
B A
BA
Harwant
S
S
D000293:Adolescent; D003161:Compartment Syndromes / Q000209:etiology*; D005534:Foot Diseases / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000382:microbiology / Q000601:surgery*; D008297:Male; D013978:Tibial Fractures / Q000150:complications*