Gluteal compartment syndrome after immobilization following opioid abuse

This article reports the case of a 42-year-old male patient, who sustained a gluteal compartment syndrome after drug-induced immobilization with subsequent rhabdomyolysis and sciatic nerve palsy. Unlike compartment syndrome of the forearm or lower leg, this is a rare condition. After immediate surgi...

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Bibliographic Details
Published inDer Unfallchirurg Vol. 123; no. 6; pp. 496 - 500
Main Authors Gleich, J, Fürmetz, J, Kamla, C, Pedersen, V, Böcker, W, Keppler, A M
Format Journal Article
LanguageGerman
Published Germany 01.06.2020
Subjects
Sciatic nerve palsy
Rhabdomyolysis
Crush syndrome
Emergency surgery
Acute renal failure
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Summary:This article reports the case of a 42-year-old male patient, who sustained a gluteal compartment syndrome after drug-induced immobilization with subsequent rhabdomyolysis and sciatic nerve palsy. Unlike compartment syndrome of the forearm or lower leg, this is a rare condition. After immediate surgical decompression and installation of negative pressure wound treatment, hemofiltration in acute renal failure could be averted using forced diuresis. The sensorimotor function of the lower extremity improved already after the first treatment and secondary wound closure was possible after 1 week. The patient was discharged 11 days after admission with complete recovery of sensorimotor and renal functions.
Bibliography:ObjectType-Case Study-2
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ISSN:1433-044X
DOI:10.1007/s00113-020-00792-9