© 2003 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
CASE REPORT
Saphenous nerve injury after fasciotomy for compartment syndrome
Department of Rheumatology, The Royal London Hospital (Mile End), Bancroft Road, London E1 4DG, UK
Correspondence to:
Correspondence to:
Dr Pyne;
dpyne@supanet.com
Accepted 5 November 2002
Keywords: compartment syndrome; fasciotomy; saphenous nerve
| The first 150 words of the full text of this article appear below. |
A case is reported of chronic exertional compartment syndrome treated by fasciotomy. The decompression procedure was complicated by injury to the saphenous nerve. The importance of accurate placement of the posteromedial incision line to avoid saphenous nerve injury is highlighted.
Compartment syndrome refers to muscle ischaemia following small vessel occlusion resulting from an increase in local tissue pressure within a closed fascial compartment (fig 1
). The condition may be acute (usually secondary to trauma) or less commonly chronic, secondary to exertion. The definitive treatment is surgical decompression of the compartment by fasciotomy. We describe a case of chronic exertional compartment syndrome (CECS) treated by fasciotomy. The decompression procedure was complicated by injury to the saphenous nerve.
[in a new window] Figure 1 Compartments of lower limb.
| |||||||||
A 24 year old kickboxer, with no previous medical history, presented with pain in both shins and posteromedial aspect of his calf muscles, after an increase in his training
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
