Compartment syndrome is defined as a condition in which the circulation and function of tissues within a closed space are compromised by increased pressure within that space. 1 Westrich GH Toledano B Compartment syndrome in the leg requiring fasciotomy after bicillin injection in the thigh. Orthopedics. 1995; 18: 1113 PubMed Google Scholar Compartment syndrome can occur secondary to a number of inciting factors. Trauma is a common cause, with vascular insults, snake bite, drug overdose, burns, bleeding in coagulopathic patients, and exercise among the other possible causes. 2 Whitesides TE Heckman MM Acute compartment syndrome: Update on diagnosis and treatment. J Am Acad Orthop Surg. 1996; 4: 209 Crossref PubMed Google Scholar The occurrence of any of these factors in conjunction with head injury, drug overdose, or other obtunded states can lead to delay in diagnosis. Most commonly, compartment syndrome is caused by muscle injury that leads to edema. Eventually the fascial compartments restrict expansion of tissues and pressure rises, leading to ischemia. Volkmann first described the syndrome in 1872; he identified paralysis and contracture of injured extremities secondary to tightly applied dressings. 3 Jepson PN Ischemic contracture: Experimental study. Ann Surg. 1926; 84: 785 Crossref PubMed Google Scholar It was not until 1967 that Whitesides and Kelly 4 Whitesides TE Kelly RP Transfibular route for fasciotomy of the leg. J Bone Joint Surg Am. 1967; 49A: 1022 Google Scholar reported the syndrome of involvement of all the compartments. The clinical presentation is indefinite and confusing, at times resulting in delay of surgical treatment.