Bilateral peroneal compartment syndrome after horse riding.

Full Abstract

A healthy 20-year-old woman developed acute ischemia of the lateral compartment of both calves shortly after a 30-minute horse ride. On one side, she developed compartment syndrome with resultant complete myonecrosis of the compartment, whereas on the other side, there was spontaneous resolution. To our knowledge, this is the first report of bilateral lateral compartment ischemia after horse riding. Atraumatic compartment syndrome is a rare entity and is often missed at initial presentation. We discuss aspects of her management together with a review of the literature. Late fasciotomy and exploration may be beneficial in decompressing the deep peroneal nerve in peroneal compartment syndrome. Awareness of atraumatic compartment syndrome is important in any case of limb pain and swelling.

Author information

Author/s: Naidu, Krishant S (KS); Chin, Terence (T); Harris, Christain (C); Talbot, Simon (S);

Affiliation: Orthopaedic Unit, Department of Surgery, Sunshine Hospital, Western Health, Victoria 3021, Australia. krishant_n(-atsign-)hotmail.com

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The American journal of emergency medicine (Am J Emerg Med), published in United States. (Language: eng)

Reference: 2009-Sep; vol 27 (issue 7) : pp 901.e3-5

Dates: Created 2009/08/17; Completed 2009/09/22;

PMID: 19683135, status: MEDLINE (last retrieval date: 9/22/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.