naa a22 4500 510818013 CHVBK 20180411083517.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12306-011-0176-x doi (NATIONALLICENCE)springer-10.1007/s12306-011-0176-x Compartment syndrome of the thigh after blunt trauma: a complication not to be ignored [Elektronische Daten] [André-Pierre Uzel, Antonio Bulla, Stéphane Henri] We report a case of anterior thigh compartment syndrome, which occurred after man's thigh was bruised after flipping repeatedly over his bike and being hit by the frame of the bike nearly at around 6 pm. The next day at 1:30 am, he was admitted to the hospital. The initial presentation was a hematoma, and the patient was kept in bed with local cooling. The compartment syndrome of the thigh (CST) diagnosis was made around 6:00 pm when the level of pain was interpreted as disproportionate to the treated lesion; anterior compartment pressure measure was 84mmHg. A compartment fasciotomy was performed. It is difficult to diagnose a CST in case of muscular contusion as the latter causes symptoms that are similar to CST. A conservative treatment without fasciotomy was carried out by several authors, especially in sportsmen showing a CST following contusion. This conservative treatment implies close monitoring of intramuscular pressures and adjuvant measures (bed rest, holding the thigh at the heart level and oxygenotherapy). Springer-Verlag, 2012 Compartment syndrome nationallicence Thigh nationallicence Blunt trauma nationallicence Uzel André-Pierre Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut Bulla Antonio Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut Henri Stéphane Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 81-83 2035-5106 97:1<81 2013 97 12306 https://doi.org/10.1007/s12306-011-0176-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-011-0176-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Uzel André-Pierre Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut NATIONALLICENCE 700 1- Bulla Antonio Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut NATIONALLICENCE 700 1- Henri Stéphane Service d'Orthopédie-Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159, Pointe-à-Pitre Cédex, Guadeloupe aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 81-83 2035-5106 97:1<81 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer