Abstract
Compartment syndrome in lower extremity has been commonly associated with fractures of the tibial plateau, tibia shaft, and tibial plafond. Three patients were included in our study with history of a motor vehicle accident. All of them sustained a closed bular shaft fracture and had fullness in anterior/lateral compartments of leg but no pain with passive or active range of motion of ankle on initial presentation. Repeat examination demonstrated tense compartments of leg with severe pain during ankle range of motion. 2 out of 3 patients were on anticoagulant therapy. They were taken to operating room for four-compartment fasciotomies. On postoperative day 3 debridement & primary closure was done. Post-operative course in hospital was uneventful. No post compartment syndrome sequelae were seen in 2 months follow up. In conclusion, compartment syndrome in isolated closed bula fracture is a rare possibility.
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