The gluteal compartment syndrome

The gluteal compartment syndrome is a rare, often unrecognized condition which, left untreated, can lead to renal failure, sepsis, and death. The etiology, physiology, and manifestations are similar to those seen in the more common and readily recognized compartment syndromes of the lower leg and fo...

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Bibliographic Details
Published inThe American surgeon Vol. 63; no. 9; p. 823
Main Authors Hill, S L, Bianchi, J
Format Journal Article
LanguageEnglish
Published United States 01.09.1997
Subjects
Adult
Buttocks
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Compartment Syndromes - surgery
Drug Overdose - complications
Humans
Male
Posture
Renal Insufficiency - etiology
Time Factors
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Summary:The gluteal compartment syndrome is a rare, often unrecognized condition which, left untreated, can lead to renal failure, sepsis, and death. The etiology, physiology, and manifestations are similar to those seen in the more common and readily recognized compartment syndromes of the lower leg and forearm. The large gluteal muscle mass confined by the fascia lata of the thigh and tensor fascia lata can, under the right conditions, produce muscle necrosis, acidosis, elevations of creatinine phosphokinase, and ultimately renal failure. A gluteal compartment syndrome most commonly occurs in individuals with an altered mental status due to drugs or alcohol who remain in one position for an extended period of time. This prolonged compression leads to muscle damage, edema, and a full-blown compartment syndrome. Due to its anatomic location and rarity, diagnosis is missed or delayed, resulting in significant morbidity and possible mortality. The mainstay of treatment consists of fasciotomy and debridement.
ISSN:0003-1348