Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 34422438.
- Also identified by DOI 10.1177/21514593211036234 and PMC identifier 8377303.
- Licence recorded as CC BY-NC.
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Abstract
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. 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.