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Anterior compartment syndrome of the leg, a clinical-anatomical perspective: A case report

✍ Scribed by Ralph Ger; Jean Weitz; Paul Scott

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
144 KB
Volume
11
Category
Article
ISSN
0897-3806

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✦ Synopsis

Decompression of the fascial compartments of the leg is a fairly common procedure that is carried out therapeutically and prophylactically. It is submitted that the guidance offered by the average surgical texts are unclear and imprecise. A junior surgeon would be led to believe that all four compartments require decompression, whereas it is distinctly uncommon for compartments other than the anterior to suffer compression. Anatomic reasons are offered for this predilection. The incisions advised often extend the full length of the leg; not only is this unneccessary but considerable morbidity may result. A case report is presented which underlines the result of an ill placed incision and unfamiliarity with the detailed anatomy of the anterolateral leg muscles. An incision is suggested which is very unlikely to lead to failure to decompress and which should avoid complications.

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