Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete

Case: 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...

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Bibliographic Details
Published inGeriatric orthopaedic surgery & rehabilitation Vol. 12; p. 21514593211036234
Main Authors O’Neill, Conor N., Johnsen, Parker H., Stefanski, James T., Toney, Clarence Brian
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 2021
Sage Publications Ltd
SAGE Publishing
Subjects
Compartment syndrome
Geriatrics
Injuries
Muscle pain
Original Manuscript
fasciotomy
geriatric trauma
compartment syndrome
soleus muscle
Sports medicine
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Summary:Case: 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. Conclusion: 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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2151-4593
2151-4585
2151-4593
DOI:10.1177/21514593211036234