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Chronic compartment syndrome in the lower leg can be treated conservatively or surgically. [ 1 ] [ 22 ] Avoid using devices that apply pressure, like splints, casts, or tight dressings. [ 62 ] [ 23 ] If symptoms persist after basic treatment, or if someone wants to keep doing painful activities, compartment syndrome can be treated with surgery ...
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
The thickness of the fascia can give problems when any inflammation present in the leg has little room to expand into. Blood vessels and nerves can also be affected by the pressure caused by any swelling in the leg. If the pressure becomes great enough, blood flow to the muscle can be blocked, leading to a condition known as compartment ...
An ankle fracture is a break of one or more of the bones that make up the ankle joint. [1] Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. [1] Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis. [1] [2]
Compartment syndrome, according to the Cleveland Clinic, is when pressure and swelling rises in and around muscles. The injury is most commonly found in the lower leg, and it can lead to permanent ...
The anterior compartment of the leg is supplied by the deep fibular nerve (deep peroneal nerve), a branch of the common fibular nerve. The nerve contains axons from the L4, L5, and S1 spinal nerves. Blood for the compartment is supplied by the anterior tibial artery, which runs between the tibialis anterior and extensor digitorum longus muscles.
Every limb should be exposed to evaluate any other hidden injuries. Characteristics of the wound should be noted in detail. Neurology and the vascular status of the affected limb are important to rule out any nerve or blood vessels injuries. High index of suspicion of compartment syndrome should be maintained for leg and forearm fractures. [5]
Due to the thick fascia covering the leg muscles, they are prone to compartment syndrome. This pathology relates to tissue inflammation affecting blood flow and compressing nerves. If left untreated, compartment syndrome can lead to atrophy of muscles, blood clots, and neuropathy. [10]