• Der Unfallchirurg · Dec 2007

    Case Reports

    [Exertion-induced compartment syndrome of the peroneal space after bowling : correction by transfer of the posterior tibialis muscle].

    • M Metze, H Siekmann, and C Josten.
    • Klinik für Unfall- und Wiederherstellungs- und plastische Chirurgie, Universitätsklinikum Leipzig, Zentrum für Chirurgie, Liebigstrasse 20, 04103, Leipzig, Deutschland. michael.metze@web.de
    • Unfallchirurg. 2007 Dec 1; 110 (12): 1065-7.

    AbstractA 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.

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