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Related Experiment Videos

Gluteal compartment syndrome: case report

P M Evanski, T R Waugh

    The Journal of Trauma
    |April 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Compartment syndrome can affect any fascial-bound space. A gluteal compartment syndrome case, caused by prolonged pressure after a drug overdose, was successfully treated with fasciotomy, relieving painful symptoms and sciatic nerve dysfunction.

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    Area of Science:

    • Orthopedic Surgery
    • Neurology
    • Trauma Management

    Background:

    • Compartment syndrome is a surgical emergency characterized by increased pressure within a confined anatomical space.
    • It can arise from various causes, including trauma, crush injuries, and prolonged immobilization.
    • The gluteal region, while less commonly affected, is susceptible due to its fascial compartments.

    Observation:

    • A patient presented with a painful, expanding gluteal mass following a drug overdose.
    • Clinical manifestations included significant sciatic nerve dysfunction.
    • The mass was attributed to prolonged pressure leading to compartment syndrome.

    Findings:

    • Surgical intervention via fasciotomy of the tensor fascia lata and gluteus maximus fascia was performed.

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  • The procedure resulted in rapid decompression of the affected compartment.
  • This led to prompt resolution of the patient's pain and neurological symptoms.

    • Implications:

    • This case highlights prolonged pressure as a potential cause of gluteal compartment syndrome.
    • Early surgical decompression through fasciotomy is crucial for favorable outcomes.
    • Awareness of this condition is important for clinicians managing patients with altered consciousness or prolonged immobility.