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Updated: May 31, 2026
04:34
A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Spontaneous thigh compartment syndrome
Sameer K Khan1, Srinivas Thati, Charles Gozzard
1Trauma and Orthopaedics, University Hospitals of Leicester, Leicester, UK.
The Western Journal of Emergency Medicine
|June 22, 2011
Summary
Spontaneous atraumatic thigh compartment syndrome is a rare condition presenting as a painful, swollen thigh. Emergency physicians should recognize this limb-threatening emergency for prompt management.
Area of Science:
- Orthopedics
- Emergency Medicine
- Trauma Surgery
Background:
- Thigh compartment syndrome typically results from trauma or exertion.
- Spontaneous, atraumatic presentations are uncommon but critical to recognize.
Purpose of the Study:
- To highlight a case of spontaneous atraumatic thigh compartment syndrome.
- To review literature on thigh compartment syndromes.
- To emphasize the importance of early diagnosis and management.
Main Methods:
- Case presentation of a young male with spontaneous thigh swelling.
- Initial imaging and emergent fasciotomies.
- Intraoperative and follow-up imaging review.
- Literature review of thigh compartment syndromes.
Main Results:
- A spontaneous, atraumatic thigh hematoma was identified.
- Fasciotomies were performed without intraoperative findings.
- No underlying pathology was found on follow-up.
- A comprehensive table of thigh compartment syndromes was compiled.
Conclusions:
- Spontaneous atraumatic thigh compartment syndrome requires high clinical suspicion.
- Prompt recognition and management are crucial for limb salvage.
- Emergency physicians and traumatologists must be aware of these rare presentations.
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