Acute leg compartment syndrome after exertion

A case of a 22-year old soldier, with a history of pain in the leg during heavy exercise, which desisted at rest, was presented. One day before admission, the patient had felt an extreme exertion-induced pain in his right leg which had not lessened at rest. At the same time, the patient noticed pers...

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Main Authors: Mišović Sidor, Kronja Goran, Ignjatović Dragan, Tomić Aleksandar
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2005-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500503243M.pdf
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author Mišović Sidor
Kronja Goran
Ignjatović Dragan
Tomić Aleksandar
author_facet Mišović Sidor
Kronja Goran
Ignjatović Dragan
Tomić Aleksandar
author_sort Mišović Sidor
collection DOAJ
description A case of a 22-year old soldier, with a history of pain in the leg during heavy exercise, which desisted at rest, was presented. One day before admission, the patient had felt an extreme exertion-induced pain in his right leg which had not lessened at rest. At the same time, the patient noticed persistent severe leg edema. On physical examination, the intracompartmental pressure was 62 mmHg (>30 mmHg). The patient was urgently operated on, and fasciotomy according to Mubarak was used. At second surgery, the debridement of the muscles of the posterior group of the leg, and the evacuation of hemathoma from the anterior and lateral group of the right leg muscles were perfomed. Postoperative recovery was uneventful. Fasciotomy wounds were closed within 14 days of the surgery. The complete physical treatment was done. Follow-up examinations 1, 3, and 6 months afterwards were satisfactory. The soldier completed his compulsory military service without any sequelae. Laboratory results were normal. Overlooked, unrecognized or surgically untreated compartment syndrome can cause severe damage, including even the loss of the extremity.
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spelling doaj-art-e68a7f8e5cb74628bbdecb6fe5b6d57d2025-08-20T02:04:10ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502005-01-0162324324610.2298/VSP0503243MAcute leg compartment syndrome after exertionMišović SidorKronja GoranIgnjatović DraganTomić AleksandarA case of a 22-year old soldier, with a history of pain in the leg during heavy exercise, which desisted at rest, was presented. One day before admission, the patient had felt an extreme exertion-induced pain in his right leg which had not lessened at rest. At the same time, the patient noticed persistent severe leg edema. On physical examination, the intracompartmental pressure was 62 mmHg (>30 mmHg). The patient was urgently operated on, and fasciotomy according to Mubarak was used. At second surgery, the debridement of the muscles of the posterior group of the leg, and the evacuation of hemathoma from the anterior and lateral group of the right leg muscles were perfomed. Postoperative recovery was uneventful. Fasciotomy wounds were closed within 14 days of the surgery. The complete physical treatment was done. Follow-up examinations 1, 3, and 6 months afterwards were satisfactory. The soldier completed his compulsory military service without any sequelae. Laboratory results were normal. Overlooked, unrecognized or surgically untreated compartment syndrome can cause severe damage, including even the loss of the extremity.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500503243M.pdfcompartment syndromeslegfasciaexertion
spellingShingle Mišović Sidor
Kronja Goran
Ignjatović Dragan
Tomić Aleksandar
Acute leg compartment syndrome after exertion
Vojnosanitetski Pregled
compartment syndromes
leg
fascia
exertion
title Acute leg compartment syndrome after exertion
title_full Acute leg compartment syndrome after exertion
title_fullStr Acute leg compartment syndrome after exertion
title_full_unstemmed Acute leg compartment syndrome after exertion
title_short Acute leg compartment syndrome after exertion
title_sort acute leg compartment syndrome after exertion
topic compartment syndromes
leg
fascia
exertion
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500503243M.pdf
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AT kronjagoran acutelegcompartmentsyndromeafterexertion
AT ignjatovicdragan acutelegcompartmentsyndromeafterexertion
AT tomicaleksandar acutelegcompartmentsyndromeafterexertion