Acute Compartment Syndrome of the Foot due to Infection After Local Hydrocortisone Injection: A Case Report.
High-energy trauma associated with calcaneal fracture or Lisfranc fracture dislocation and midfoot crushing injuries are known causes of compartment syndrome in the foot. Suppurative infection in the deep osseofascial compartments can also cause compartment syndrome. We describe the case of a 29-year-old female who had developed a suppurative local infection that resulted in acute compartment syndrome after receiving a local hydrocortisone injection for plantar fasciitis. We diagnosed the compartment syndrome, and fasciotomy was promptly undertaken. After more than 2 years of follow-up, she had a satisfactory functional outcome without substantial morbidity. To our knowledge, no other report in the English-language studies has described compartment syndrome due to abscess formation after a local injection of hydrocortisone. The aim of our report was to highlight this rare, but serious, complication of a routine outpatient clinical procedure.
Director and Head, Orthopedic Department, Noble Hospital, Hadapsar, Pune, Maharashtra, India. Electronic address: sampatdumbre@gmail.com.
Sampat Dumbre
SD
Patil
Research Officer, Noble Hospital, Hadapsar, Pune, Maharashtra, India.
Vaishali Dumbre
VD
Patil
Consultant Orthopaedic Surgeon, Orthopedic Department, Abane Hospital, Hadapsar, Pune, Maharashtra, India.
Sachin
S
Abane
Consultant Orthopaedic Surgeon, Orthopedic Department, Noble Hospital, Hadapsar, Pune, Maharashtra, India.
Rohit
R
Luthra
Consultant Orthopaedic Surgeon, Orthopedic Department, Noble Hospital, Hadapsar, Pune, Maharashtra, India.
Abhijit
A
Ranaware
D000208:Acute Disease; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery; D036981:Fasciitis, Plantar / Q000188:drug therapy; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000009:adverse effects*; D007267:Injections / Q000009:adverse effects*; D018461:Soft Tissue Infections / Q000150:complications* / Q000209:etiology
D000893:Anti-Inflammatory Agents; D006854:Hydrocortisone
abscess; complication of treatment; fasciotomy; muscle compartment; plantar fascia