J Korean Fract Soc.  2012 Jul;25(3):215-218.

Acute Compartment Syndrome of the Thigh Caused by Contusion: 4 Cases Report

  • 1Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea. chpark77@naver.com


Acute compartment syndrome of the thigh, which usually occurs in the anterior compartment, is a rare condition. It can have various causes including femur fractures, vessel injury, pseudoaneurysm of the femoral or popliteal artery, and use of anticoagulant. However, there have been few reports of acute compartment syndrome of the thigh without fracture caused by blunt trauma. We report 4 cases of acute compartment syndrome of the thigh without fracture caused by blunt trauma, in which three patients were treated with fasciotomy and a Vacuum-Assisted wound Closure system and the other one had a delayed diagnosis, and eventually underwent above-knee amputation.


Thigh; Acute compartment syndrome; Fasciotomy; VAC systems

MeSH Terms

Aneurysm, False
Compartment Syndromes
Delayed Diagnosis
Popliteal Artery


  • Fig. 1 Pre-operative radiographs show soft tissue swelling without fracture around the distal femur.

  • Fig. 2 (A) Photograph taken postoperatively shows decompressive fasciotomy using a single-incision technique on the left lateral thigh. Photographs taken 3 days (B) and 7 days post-operatively (C) show reduced soft tissue swelling. (D) Photograph taken 10 days post-operatively shows delayed wound closure.


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