TY  - JOUR
PY  - 2024//
TI  - Treatment strategy for compartment syndrome at multiple regions due to injuries caused by a tree fall: a case report
JO  - International journal of emergency medicine
A1  - Miura, Tomotaka
A1  - Miyake, Takahito
A1  - Okada, Hideshi
A1  - Oiwa, Hideaki
A1  - Mizuno, Yosuke
A1  - Kitagawa, Yuichiro
A1  - Fukuta, Tetsuya
A1  - Okamoto, Haruka
A1  - Shiba, Masato
A1  - Kanda, Norihide
A1  - Yoshida, Takahiro
A1  - Yoshida, Shozo
A1  - Ogura, Shinji
SP  - e89
EP  - e89
VL  - 17
IS  - 1
N2  - BACKGROUND: Compartment syndrome commonly occurs in patients with forearm and lower leg fractures. Compartment syndromes of the gluteal and thigh muscles are less common. It is imperative that compartment syndrome be diagnosed and treated with fasciotomy as soon as possible. However, there are few reports on the diagnosis and treatment strategies for compartment syndromes that occur simultaneously in multiple anatomical regions or in the ipsilateral gluteal region and thigh.     CASE PRESENTATION: We report on a 76-year-old man who was obliquely crushed under a tree extending from the right forearm to the left groin. He was brought to our emergency room, where he was diagnosed with compartment syndrome of the right forearm and left lower leg and crush syndrome. Emergency fasciotomy was performed. On the day after admission, swelling and tightness of the left gluteal thigh became apparent, and intracompartmental pressures were elevated, which led to an additional diagnosis of these compartment syndromes. A fasciotomy was performed, the gluteal skin incision was made according to the Kocher-Langenbeck approach (one of the posterior approaches for hip fractures), and the thigh was approached by extending the incision laterally. This surgical approach enabled the decompression of the compartments through a single incision and allowed for easier wound treatment and closure. <br><br>CONCLUSION: This case highlights the diagnosis and treatment of compartment syndrome in four anatomical regions. Extension of the Kocher-Langenbeck approach to the lateral thigh can be a useful surgical approach for ipsilateral gluteal and thigh compartment syndrome.<p />  <p>Language: en</p>
LA  - en
SN  - 1865-1372
UR  - http://dx.doi.org/10.1186/s12245-024-00675-5
ID  - ref1
ER  -