Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete

Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete

Case: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the...

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Main Authors: Conor N. O’Neill MD, Parker H. Johnsen MD, James T. Stefanski MD, Clarence Brian Toney MD
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Geriatric Orthopaedic Surgery & Rehabilitation
Online Access:https://doi.org/10.1177/21514593211036234
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spelling doaj-5d43b526d43343fa96b674e161de65432021-08-18T21:34:47ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932021-08-011210.1177/21514593211036234Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational AthleteConor N. O’Neill MDParker H. Johnsen MDJames T. Stefanski MDClarence Brian Toney MDCase: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the lack of a typical mechanism or fracture. Compartment pressures were measured and found to be significantly elevated. He underwent compartment releases revealing a medial soleus tear with 400–500 cc hematoma. Conclusion: The case presents a patient with ACS after a soleus muscle tear. Prompt recognition and fasciotomy led to a good clinical outcome. Physicians should recognize that not only gastrocnemius tears can lead to compartment syndrome.https://doi.org/10.1177/21514593211036234
collection DOAJ
language English
format Article
sources DOAJ
author Conor N. O’Neill MD
Parker H. Johnsen MD
James T. Stefanski MD
Clarence Brian Toney MD
spellingShingle Conor N. O’Neill MD
Parker H. Johnsen MD
James T. Stefanski MD
Clarence Brian Toney MD
Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
Geriatric Orthopaedic Surgery & Rehabilitation
author_facet Conor N. O’Neill MD
Parker H. Johnsen MD
James T. Stefanski MD
Clarence Brian Toney MD
author_sort Conor N. O’Neill MD
title Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_short Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_full Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_fullStr Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_full_unstemmed Acute Compartment Syndrome After Isolated Soleus Tear in an Elderly Recreational Athlete
title_sort acute compartment syndrome after isolated soleus tear in an elderly recreational athlete
publisher SAGE Publishing
series Geriatric Orthopaedic Surgery & Rehabilitation
issn 2151-4593
publishDate 2021-08-01
description Case: A 62-year-old man without significant medical history (no anticoagulation) presented to the emergency department with intense leg pain following a short track race, during which he felt a pop in his calf. His physical exam was highly concerning for acute compartment syndrome (ACS) despite the lack of a typical mechanism or fracture. Compartment pressures were measured and found to be significantly elevated. He underwent compartment releases revealing a medial soleus tear with 400–500 cc hematoma. Conclusion: The case presents a patient with ACS after a soleus muscle tear. Prompt recognition and fasciotomy led to a good clinical outcome. Physicians should recognize that not only gastrocnemius tears can lead to compartment syndrome.
url https://doi.org/10.1177/21514593211036234
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