• Der Unfallchirurg · Jun 2020

    Case Reports

    [Gluteal compartment syndrome after immobilization following opioid abuse].

    • J Gleich, J Fürmetz, C Kamla, V Pedersen, W Böcker, and A M Keppler.
    • Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, Campus Innenstadt und Großhadern, Marchioninistraße 17, 81377, München, Deutschland. johannes.gleich@med.uni-muenchen.de.
    • Unfallchirurg. 2020 Jun 1; 123 (6): 496-500.

    AbstractThis article reports the case of a 42-year-old male patient, who sustained a gluteal compartment syndrome after drug-induced immobilization with subsequent rhabdomyolysis and sciatic nerve palsy. Unlike compartment syndrome of the forearm or lower leg, this is a rare condition. After immediate surgical decompression and installation of negative pressure wound treatment, hemofiltration in acute renal failure could be averted using forced diuresis. The sensorimotor function of the lower extremity improved already after the first treatment and secondary wound closure was possible after 1 week. The patient was discharged 11 days after admission with complete recovery of sensorimotor and renal functions.

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