Necrosis in the flexor hallucis longus muscle after subclinical leg compartment syndrome and tibial fracture: A case report

International Journal of Surgery Case Reports
R Andri PrimadhiRenaldi Prasetia

Abstract

Compartment syndrome is a condition in which an increased pressure within one compartment results in decreased blood flow, preventing nutrition and blood supply from reaching nerve and muscle cells. Ongoing physiological cascades can progress to local and systemic manifestations. This article presents a case of subclinical compartment syndrome resulting in muscle necrosis and contracture. More specifically, this article highlights the presentation of a complicated and neglected case of subclinical compartment syndrome with a subsequent fixed equinus deformity and its management. A 15-year-old high school student sustained a proximal tibia fracture during a motor vehicle accident. The compartment was not recognized until a period of follow-up. The patient later presented to our clinic with ankle equinus deformity. Further exploration found the contracture and necrosis of flexor hallucis longus (FHL) muscle. We excised the necrotic wound and performed an ankle fusion. The patient had developed subclinical localized deep posterior compartment syndrome in the distal portion of the FHL muscle. As only a small portion of the muscle was involved, there was no retraction of the main muscle belly; however, the necrotic part can become f...Continue Reading

Citations

Aug 11, 2020·The Indian Journal of Medical Research·Anant MohanLaxmitej Wundavalli
Aug 30, 2020·The Indian Journal of Medical Research·Parul JainAmita Jain
Aug 11, 2020·The Indian Journal of Medical Research·Vijesh Sreedhar KuttiattManju Rahi

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