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[Gluteal compartment syndrome].

N Lund1, K H Jensen

  • 1Bispebjerg Hospital, København, ortopaedkirurgisk afdeling M.

Ugeskrift for Laeger
|February 26, 1990
PubMed
Summary
This summary is machine-generated.

Gluteal compartment syndrome is a rare condition typically caused by injury. This case highlights a rare instance triggered by an intramuscular injection during anticoagulation therapy, affecting the sciatic nerve.

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Area of Science:

  • Orthopedics
  • Neurology
  • Vascular Surgery

Background:

  • Gluteal compartment syndrome (GCS) is an uncommon condition characterized by increased pressure within the gluteal muscle compartments.
  • It is most often associated with significant trauma, such as fractures or crush injuries.
  • Prompt diagnosis and intervention are crucial to prevent irreversible muscle and nerve damage.

Observation:

  • A rare case of GCS occurred following an intramuscular injection.
  • The patient was undergoing anticoagulation treatment at the time of the injection.
  • The sciatic nerve was involved in the presentation of the syndrome.

Findings:

  • The intramuscular injection, combined with anticoagulation, precipitated GCS.
  • Sciatic nerve involvement indicates potential for severe neurological deficits.

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  • This case expands the known etiology of GCS beyond traumatic injuries.

    • Implications:

    • Anticoagulation therapy may increase the risk of GCS after intramuscular injections.
    • Clinicians should consider GCS in patients with gluteal pain and neurological deficits after injections, especially if on anticoagulation.
    • Further research is needed to understand the mechanisms and optimal management of non-traumatic GCS.