[Reconstructive measures for the foot after compartment syndrome]

Area of Science:

• Orthopedics
• Trauma Surgery
• Podiatry

Context:

• Compartment syndrome in the foot, often resulting from trauma, can lead to significant functional impairment.
• Untreated compartment syndrome can progress to a complex post-traumatic deformity known as "short foot syndrome."
• This condition can manifest as a contracted pes equinovarus foot with toe clawing or hammer toes.

Purpose:

• To describe the pathophysiology and clinical manifestations of short foot syndrome following compartment syndrome.
• To outline the radiological findings associated with this condition.
• To review current treatment strategies for short foot syndrome in both pediatric and adult populations.

Summary:

• Compartment syndrome following foot trauma can cause "short foot syndrome," characterized by pes equinovarus and toe deformities.
• Radiological imaging (sonography, MRI) reveals scarred, necrotic musculature, particularly in the posterior tibia and foot flexor muscles.
• Treatment options range from soft tissue release and tendon procedures to triple arthrodesis in adults with severe deformities.

Impact:

• Understanding the progression from compartment syndrome to short foot syndrome is crucial for timely diagnosis and intervention.
• Effective management strategies can improve functional outcomes and reduce long-term disability.
• This research highlights the importance of addressing compartment syndrome promptly to prevent irreversible foot deformities.