Posterior thigh compartment syndrome secondary to proximal hamstring avulsion

Thigh compartment syndrome is a rare clinical entity that requires urgent medical and surgical management due to its potentially severe medical and legal consequences. Although it typically affects a classic patient demographic-most often a young adult following a traffic accident.

This case is unique in that it stems from a compressive hematoma secondary to an avulsion of the proximal hamstring tendon.

Thigh compartment syndrome can be challenging to diagnose due to its sometimes-misleading clinical presentation. Hamstring rupture is a very rare etiology and may lead to a delay in diagnosis and management, which can have serious consequences.

We report a rare case of thigh compartment syndrome secondary to hamstring rupture.