Abstract
We present a case of acute compartment syndrome of the lateral compartment of the lower leg, caused by strenuous eccentric exercise. The diagnosis can be made based on clinical findings, but ultrasound and MRI can be useful in recognizing this rare form of compartment syndrome.
Highlights
We present a case of acute compartment syndrome of the lateral compartment of the lower leg, caused by strenuous eccentric exercise
magnetic resonance (MR) has already proven to be useful in the setting of chronic exertional compartment syndrome
MR can only assist in the diagnostic workup of acute exertional compartment syndrome when it is rapidly available
Summary
Acute Exertional Compartment Syndrome in a Young Amateur Soccer Player: A Case Report. We present a case of acute compartment syndrome of the lateral compartment of the lower leg, caused by strenuous eccentric exercise. An ultrasound exam of the lower leg was ordered, which showed extensive subcutaneous edema. The patient’s overall temperature was normal, and he showed no signs of systemic illness He developed a drop foot, and a second ultrasound exam was ordered to evaluate the common peroneal nerve. A subsequent magnetic resonance (MR) exam showed swelling and edema in the peroneal muscle compartment, most extensive in the proximal half of the leg (Figure 2). On T2-weighted imaging, adjacent edema in the deep subcutaneous fat along the fascia, in the fibular bone marrow, and in the distal course of the common peroneal nerve was identified. Acute trauma is the most frequent cause of acute compartment syndrome. The more rare, acute form of exertional compartment syndrome was first introduced as ‘march gangrene’ in
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