We report a case of Nicolau syndrome in a 15 months old girl following of an intramuscular injection of penicillin 6.3.3 in her left buttock. This case is unique because she developed compartment syndrome in her left calf far from her injection site. Her toe’s tips gangrened in the course of her ailment. We hypothesized that the compartment syndrome might be produced by a probable intra-arteri...

Chronic exertional compartment syndrome (CECS) is a condition in which patients experience pain with exercise that usually subsides with resting.1 CECS is defined as increased pressure within a closed fibro-osseous space that can cause reduced blood flow and tissue perfusion within that space. These changes within a confined compartment can lead to ischemic pain and damage to the tissues of tha...

BACKGROUND Acute compartment syndrome (ACS) of the thigh after elective primary total knee arthroplasty is rare. If not recognized and treated promptly, devastating consequences may result. Certain regional anesthesia techniques are thought to mask the symptoms of acute compartment syndrome, but there are no cases reported of adductor canal catheters masking the symptoms of thigh compartment sy...

Acute compartment syndrome is an emergent condition characterized by increased pressure in a noncompliant fascial compartment, resulting in ischemia of the muscles and nerves. It is most commonly caused by a traumatic etiology but rarely can be caused by an atraumatic etiology, resulting in a confusing clinical scenario. We present a case of a 15-year-old sedentary teenager diagnosed with acute...

Acute exertional compartment syndrome of the superficial posterior compartment of the leg secondary to minor soft tissue injury is rare. This case series highlights the risk of misdiagnosis as deep venous thrombosis, followed by inadvertent anticoagulation. The delay in management did fortunately not lead to catastrophic consequences. Clinicians must not dismiss the possibility of an acute exer...

Compartment syndrome is a fairly common condition noted in patients with fractures or crush injuries to the extremities (acute compartment syndrome) and in athletes (chronic compartment syndrome). Compartments bound by fascia are found in the extremities, buttocks, and abdomen; conditions that cause intracompartmental swelling and hypertension can lead to ischemia and limb loss. This article re...

we report a case of nicolau syndrome in a 15 months old girl following of an intramuscular injection of penicillin 6.3.3 in her left buttock. this case is unique because she developed compartment syndrome in her left calf far from her injection site. her toe’s tips gangrened in the course of her ailment. we hypothesized that the compartment syndrome might be produced by a probable intra-arteria...

Compartment syndrome, the acute elevation of pressure within the fascial compartment of a muscle above that needed for capillary perfusion, is almost always associated with trauma. Infection, however, has been reported to cause this pressure phenomenon as well, as can excessive exercise, which is simply repeated microtrauma. Infectious causes of compartment syndrome have been previously reporte...

Acute-on-chronic exertional compartment syndrome is rare and may be easily missed without a high degree of awareness and clinical suspicion. We report a case of unrecognized acute-on-chronic exertional compartment syndrome in a recreational soccer player. The late sequela of this condition, foot drop, was successfully treated with transfer of the peroneus longus tendon.