Missed posterior deep, inferior subcompartment syndrome in a patient with an ankle fracture: a case report.
Deep posterior compartment syndrome is an extremely rare complication of ankle fracture and the few reported cases in the literature show that it is usually diagnosed late. Anterior and deep posterior compartment syndromes have been described with variable manifestations according to the compartment affected. We present a case of deep posterior compartment syndrome isolated to the disputed distal "subcompartment" of the leg, which had a very subtle and late presentation and was missed. The diagnosis of compartment syndrome was confirmed on MRI scan. Subsequently the patient developed a flexor hallucis longus muscle contracture that was managed nonoperatively.
Royal Prince Alfred Hospital, Sydney, Australia. kalman_piper@yahoo.com.au
Kalman John
KJ
Piper
Jessica Chua
JC
Yen-yi
Mark
M
Horsley
D000328:Adult; D016512:Ankle Injuries / Q000150:complications*; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000209:etiology; D057210:Delayed Diagnosis; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D054061:Ischemic Contracture / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000473:pathology*; D009336:Necrosis