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Gluteal compartment syndrome after prolonged immobilisation
1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong SAR, P.R. China. lawrencehlliu@gmail.com
Asian Journal of Surgery
|May 9, 2009
Summary
Gluteal compartment syndrome is a rare condition causing buttock swelling and pain after trauma. Prompt diagnosis and fasciotomy are crucial to prevent permanent sciatic nerve injury and kidney damage.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- The gluteal region's fascial attachments can predispose individuals to compartment syndrome.
- Gluteal compartment syndrome is an exceptionally rare condition with limited prior documentation.
Observation:
- A 74-year-old male presented with acute, painful buttock swelling after a fall and alcohol intoxication.
- Clinical examination revealed tense, erythematous skin, sciatic nerve palsy, and myoglobinuria.
- Intra-operative measurements confirmed markedly elevated intra-compartmental pressure.
Findings:
- The patient was diagnosed with gluteal compartment syndrome.
- Emergency fasciotomy and debridement were performed.
- The condition can lead to severe complications if not promptly addressed.
Implications:
- Early recognition and intervention are critical for preventing irreversible sciatic nerve damage and acute kidney injury.
- Increased awareness among clinicians is necessary for timely diagnosis of this rare condition.
- Prompt surgical exploration is essential to mitigate the devastating consequences of gluteal compartment syndrome.
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