Lower extremity compartment syndrome in an adolescent with spinal cord injury.

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  • Author(s): Vogel LC;Vogel LC; Lubicky JP
  • Source:
    The journal of spinal cord medicine [J Spinal Cord Med] 2001 Winter; Vol. 24 (4), pp. 278-83.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print Cited Medium: Print ISSN: 1079-0268 (Print) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Abingdon : Taylor & Francis
      Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995-
    • Subject Terms:
      Anterior Compartment Syndrome/*etiology ; Compartment Syndromes/*etiology ; Quadriplegia/*complications ; Spinal Cord Injuries/*complications; Adolescent ; Anterior Compartment Syndrome/surgery ; Bandages/adverse effects ; Compartment Syndromes/surgery ; Crush Syndrome/etiology ; Crush Syndrome/surgery ; Diving/injuries ; Fasciotomy ; Humans ; Male ; Rhabdomyolysis/etiology ; Rhabdomyolysis/surgery
    • Abstract:
      Objective: Describe the unusual complication of lower extremity compartment syndrome occurring in an adolescent with spinal cord injury (SCI).
      Methods: Case presentation.
      Results: A 17-year-old male with C5 ASIA A complete SCI developed a compartment syndrome of his lower leg on the ninth day postinjury. Presenting signs included an equinus deformity of the foot, blackened induration over the anterior tibia, circumferential erythematous markings over the calf, large urticarial lesions over the knee, and calf swelling. The presumed etiology of the compartment syndrome was excessive pressure from elastic wraps, which were placed over gradient elastic stockings. Pressures were 51 mmHg in the superficial posterior, 50 mmHg in the deep posterior, 33 mmHg in the anterior, and 34 mmHg in the peroneal compartments. The patient also developed rhabdomyolysis with myoglobinuria. In addition to supportive care, the patient underwent a dual incision fasciotomy for compartment release.
      Conclusions: The development of lower extremity compartment syndrome was probably a result of excessive pressure applied by elastic wraps. Elastic wraps should be used with caution in individuals with SCI.
    • Publication Date:
      Date Created: 20020412 Date Completed: 20020528 Latest Revision: 20190515
    • Publication Date:
      20240829
    • Accession Number:
      10.1080/10790268.2001.11753585
    • Accession Number:
      11944786