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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg

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Published on: May 31, 2019

Compartment syndrome following ankle sprain.

N J Ward¹, G P Wilde, W F M Jackson

¹John Radcliffe Hospital, Oxford, UK. nickjward72@hotmail.com

The Journal of Bone and Joint Surgery. British Volume

|August 4, 2007

Summary

Peroneal artery injury can cause acute compartment syndrome after ankle soft-tissue trauma. This previously unreported cause highlights the need for vigilance in diagnosing this condition, even with seemingly minor injuries.

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Area of Science:

Orthopedic Surgery
Vascular Surgery
Trauma Management

Background:

Acute compartment syndrome (ACS) is a surgical emergency often caused by trauma.
The perforating branch of the peroneal artery is a critical vessel in the lower leg.
Soft-tissue injuries to the ankle can lead to various complications.

Observation:

A case report details a 23-year-old male with ACS following ankle soft-tissue injury.
The injury involved the perforating branch of the peroneal artery.
A literature review identified only five prior cases of this specific arterial injury.

Findings:

Injury to the perforating branch of the peroneal artery is a newly reported cause of ACS.
Previous cases reported in the literature primarily presented as false aneurysms detected post-event.
This case demonstrates an acute presentation of ACS due to this arterial injury.

Implications:

Clinicians should consider injury to the perforating branch of the peroneal artery in the differential diagnosis of ACS after ankle trauma.
Early recognition and management of this vascular injury are crucial to prevent limb-threatening complications.
Further research may be warranted to understand the incidence and optimal management strategies for this specific injury pattern.