Clin Orthop Surg.  2015 Dec;7(4):527-530. 10.4055/cios.2015.7.4.527.

Acute Compartment Syndrome after Non-Contact Peroneus Longus Muscle Rupture

• Merriman J
• Villacis D
• Kephart C
• Yi A
• Romano R
• Hatch GF

• KMID: 2360271
• DOI: http://doi.org/10.4055/cios.2015.7.4.527

Abstract

This case demonstrates a rare variation in the pattern of injury and the presentation of acute lateral compartment syndrome of the leg. Although uncommon, lateral compartment syndrome of the leg after an ankle inversion leading to peroneus longus muscle rupture has been previously documented. This case was unusual because there was no overt ankle injury and the patient was able to continue physical activity, in spite of a significant rupture of the peroneus longus muscle that was determined later. This case highlights the necessary vigilance clinicians must maintain when assessing non-contact injuries in patients with possible compartment syndrome.

Keyword

Compartment syndrome; Peroneus longus; Lateral compartment syndrome; Non-contact

MeSH Terms

Acute Disease
Adult
*Compartment Syndromes/pathology/surgery
Humans
*Leg/pathology/surgery
Male
*Muscle, Skeletal/injuries/surgery
Rupture, Spontaneous
Young Adult

Figure

• 

  Fig. 1 Intraoperative photograph of the left leg showing the burgundy, torn peroneus longus muscle tissue, as indicated by the white arrow.

• 

  Fig. 2 Intraoperative photograph of the debrided peroneus longus muscle tissue.

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  Fig. 3 Postoperative photograph of the left leg demonstrating closure with a vacuum-assisted closure device.

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