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UNCOMMON DEVELOPMENT OF ACUTE ISOLATED LATERAL LEG COMPARTMENT SYNDROME WITH PERONEUS LONGUS MUSCLE TEAR AND DEEP PERONEAL NERVE PALSY: A CASE REPORT.

SEPTEMBER 2016 - VOL.12 | CASE REPORT

An acute isolated lateral leg compartment syndrome with peroneus longus muscle tear and deep peroneal nerve palsy due to avulsion in sport injury is uncommon and rare as well as difficult to diagnose as not all characteristics of the compartment syndrome are presented. This case reports on the pre-surgical finding, surgical finding and postoperative outcome to raise awareness of the injury itself and how to process towards full recovery of deep peroneal nerve palsy.

Keywords:

Acute lateral leg compartment syndrome, peroneus longus muscle tear, deep peroneal nerve palsy

DOI:

10.31524/bkkmedj.2016.09.009

MEDIA

Figure 1:

The cross sectional view of lateral leg ultrasonography (left), normal lateral compartment in the right leg (right). The left lateral leg presented with a hematoma.

Figure 2:

The lateral view of left lateral leg ultrasonography, where a large hematoma was detected.

Figure 3:

Intra-operative photograph of left lateral leg, showing the complete torn peroneus longus musculotendinous junction

Figure 4:

Intraoperative Finding of the second operation, the Peroneus longus muscle was totally removed and other compartments were normal, the superficial peroneal nerve was also identified

Figure 5:

The active movement of the left foot, with regards to the recovery of motor power of tibialis anterior (TA) and extensor hallucis longus (EHL) and extensor digitorum longus (EDL) muscle at fourteen weeks, and at thirty two weeks when the physical therapy course ended.

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