[Exertion-induced compartment syndrome of the peroneal space after bowling : correction by transfer of the posterior tibialis muscle].
A 30-year-old man presented several times with pain in the calf after twisting his foot and injuring it during bowling. It was some time before the diagnosis of acute exertion-induced compartment syndrome was made, and an immediate fasciotomy could no longer prevent necrosis of the peroneal muscles. Because of the patient's drop-foot, we performed a tibialis posterior tendon transfer, fixing it to the cuneiform bone. The sort of compartment syndrome observed after engagement in various sports is a recognised, albeit uncommon, variant of acute compartment syndrome. A high level of suspicion and observation is required to make the diagnosis when any leg pain has no definite diagnosis. Fasciotomy should be performed early.
Metze
M
M
Klinik für Unfall- und Wiederherstellungs- und plastische Chirurgie, Universitätsklinikum Leipzig, Zentrum für Chirurgie, Liebigstrasse 20, 04103, Leipzig, Deutschland. michael.metze@web.de
Siekmann
H
H
Josten
C
C
D000328:Adult; D000868:Anterior Compartment Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D001265:Athletic Injuries; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply / Q000601:surgery*; D009336:Necrosis / Q000209:etiology; D010543:Peroneal Nerve; D013709:Tendon Transfer; D013997:Time Factors; D016896:Treatment Outcome