Chen YP, Ho WP, Wong PK. Acute compartment syndrome secondary to disruption of the perforating branch of the peroneal artery following an acute inversion injury to the ankle.
Int J Surg Case Rep 2014;
5:1275-7. [PMID:
25460492 PMCID:
PMC4275801 DOI:
10.1016/j.ijscr.2014.11.059]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 11/17/2014] [Accepted: 11/17/2014] [Indexed: 11/08/2022] Open
Abstract
Vascular disruption and compartment syndrome, although rare, can be severe sequelae of an inversion ankle injury.
The perforating branch of the peroneal artery passes anteriorly through a hiatus in the interosseous membrane, and is susceptible to stresses in inversion injury of the ankle.
Acute compartment syndrome related to vascular lesions may rapidly present in hours after ankle sprain.
INTRODUCTION
Although ankle sprain by inversion is common in daily practice, acute compartment syndrome following ankle inversion injury is unusual. Only a few cases of this uncommon entity have been reported.
PRESENTATION OF CASE
This report describes a case of acute compartment syndrome following severe inversion of an ankle injury secondary to disruption of the perforating branch of the peroneal artery 3 h after the trauma. Although emergent fasciotomy was performed, residual weakness of ankle dorsiflexion still presented six months after surgery.
DISCUSSION
To the best of our knowledge, this case is the third in literature on an acute compartment syndrome following severe inversion ankle injury secondary to disruption of the perforating branch of the peroneal artery.
CONCLUSION
This report underscores the importance of considering compartment syndrome when individual has an inversion ankle injury, even when no fracture exists.
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