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