Related Experiment Video
Updated: Oct 23, 2025
A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
Conor N O'Neill1, Parker H Johnsen2, James T Stefanski1
1Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Case:
A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the lack of a typical mechanism or fracture. Compartment pressures were measured and found to be significantly elevated. He underwent compartment releases revealing a medial soleus tear with 400-500 cc hematoma.
Conclusion:
The case presents a patient with ACS after a soleus muscle tear. Prompt recognition and fasciotomy led to a good clinical outcome. Physicians should recognize that not only gastrocnemius tears can lead to compartment syndrome.
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