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A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:26-29 | Jun Guang Kendric Tan, Rajitha Gunaratne, Geoff Cooper Author: Jun Guang Kendric Tan[1], Rajitha Gunaratne[1], Geoff Cooper[1]. [1] Department of Orthopaedics, Joondalup Health Campus, Grand Blvd &Shenton Ave, Joondalup, WA 6027.Address of CorrespondenceDr. Jun Guang Kendric Tan,Resident Medical Officer, MBBS, Joondalup Health Campus, Grand Blvd […]

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:22-25 – Ajay Surwade, Yashwant Mahale, Vikram Kadu Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3]. [1] Department of Orthopaedics, GMCH, Gondia, Maharashtra, India.[2] Department of Orthopaedics, ACPMMC, Dhule, Maharashtra, India.[3] Kadu Hospital, Katol, Maharashtra, India. Address of CorrespondenceDr. Vikram Kadu, Consultant Orthopaedic Surgeon, […]

A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

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A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:26-29 | Jun Guang Kendric Tan, Rajitha Gunaratne, Geoff Cooper

Author: Jun Guang Kendric Tan[1], Rajitha Gunaratne[1], Geoff Cooper[1].

[1] Department of Orthopaedics, Joondalup Health Campus, Grand Blvd &
Shenton Ave, Joondalup, WA 6027.
Address of Correspondence
Dr. Jun Guang Kendric Tan,
Resident Medical Officer, MBBS, Joondalup Health Campus, Grand Blvd &
Shenton Ave, Joondalup, WA 6027.
E-mail: junguangt@hotmail.com

Abstract

Acute Compartment syndrome (ACS) is an orthopaedic surgical emergency with very poor prognosis when left untreated. The majority of cases are preceded by trauma, but importantly there is a small percentage of patients presenting with non-traumatic causes. Although rare with only two other case reports describing non-traumatic, spontaneous compartment syndrome of the peroneal compartment, the complications are equally devastating.
We report a 67-year-old female with a history of Factor V Leiden, pulmonary embolism (PE) and deep vein thrombosis (DVT). She was seen by orthopaedic surgery six weeks after acute onset right leg pain with associated foot-drop. Her symptoms were initially managed by a medical team as she had no history of trauma and no fractures were evident on plain radiographs. This was on a background of severe bilateral knee osteoarthritis, chronic bilateral lower leg pain and neurogenic claudication for the preceding six months. Given her atypical presentation with confounding comorbidities, she was admitted under the medical team for further investigations instead of urgent fasciotomy.
As orthopaedics was not involved in the acute phase of her symptoms, a non-surgical approach was taken. MRI right knee and calf six weeks after onset of symptoms were suggestive of sequela of compartment syndrome isolated to the peroneal compartment. This scan showed myonecrosis in this compartment as well as denervation myopathy of the anterior compartment. Over the next twelve months, there was resolution of leg pain and gradual progression of a positive tinel’s sign from the fibular head to anterior shin with associated return of some ankle range of movement and power.
Given the atraumatic presentation and patient risk factors, we believe she suffered a venous thrombotic event at the popliteal trifurcation leading to a subacute compartment syndrome of the peroneal compartment. Swelling of the compartment led to compression of the deep peroneal nerve, causing denervation of the anterior compartment. This is of interest given the rarity of such presentations, and will serve as a timely reminder for non-traumatic causes of ACS.

Keywords: Compartment syndrome, non-traumatic, Factor V Leiden, common peroneal nerve palsy.

References

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How to Cite this article: Tan JGK, Gunaratne R, Cooper G | A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy | Trauma International | January-June 2020; 6(1): 26-29.

(Abstract)(Full Text HTML) (Download PDF)

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:22-25 – Ajay Surwade, Yashwant Mahale, Vikram Kadu

Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3].

[1] Department of Orthopaedics, GMCH, Gondia, Maharashtra, India.
[2] Department of Orthopaedics, ACPMMC, Dhule, Maharashtra, India.
[3] Kadu Hospital, Katol, Maharashtra, India.

Address of Correspondence
Dr. Vikram Kadu,
Consultant Orthopaedic Surgeon, Kadu Hospital, Katol, Maharashtra, India.
E-mail: vikram1065@gmail.com

Abstract

Background: Intertrochanteric fractures remains the common type of injuries amongst hip fracture. There are different types of classifications systems and different modalities for fixation available. Surgical treatment represents the optimal strategy for managing intertrochanteric fractures. It allows early mobilization rehabilitation and functional recovery and reduces the risk of postoperative complications.
Material and methods: Our study consisted of forty two cases of intertrochanteric fracture of femur treated surgically with BIAXIAL PLATE SYSTEM at our institute between July 2012- Dec 2014. Two patients were died within six months of operation so 40 patients were available for follow up. So anatomical and functional assessment of forty patients done.
Results: Anatomical results were assessed by presence or absence of shortening, deformity and range of movement. 95 % cases had good results and 5% cases had poor results with shortening more than 1cm in one case and limited hip movement in another case. Functional assessment of 40 patients were done by Harris hip score system and we got excellent result were noted in 12 cases, good in 23 cases, fair in 05 cases and none had poor results.
Conclusion: Osteosynthesis with Biaxial Plate offers the advantage of high rotational stability of the head-neck fragment. The advantage of fixation in two axis is, Increased torsional strength 10 times than DHS. Decreases coring out and loosening. Increased axial deforming strength 3 times than DHS. Decreases posterior and superior cut out.
Keywords: Intertrochanteric fracture; Biaxial plate system; Osteosynthesis; Indiginous implant.

References

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4. Kaplan K, Miyamoto R, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures: an evidence-based review of the literature. II: intertrochanteric fractures. J Am AcadOrthop Surg. Nov 2008;16(11):665-73. [Medline].
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6. Dr. Ashok Desai; Biax Hip System;
concept; http://www.biaxhip.com/#details
7. Kyle RF, Gustilo RB, Premer PF. Analysis of Six hundred and Twenty– two intertrochanteric Hip Fractures. J. Bone Joint Surg. 1979 March; 61-A: 216-21.
8. Dahl E. Mortality and life expectancy after hip fractures. ActaOrthop Scand. 1980 Feb; 51(1)163-70.
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10. Grisso JA, Kelsey JI, Strom BL, and Chio GY. Risk factors for falls as a cause of hip fractures in women.New England journal of medicine. 1991; 324:1326-1331.

How to Cite this article: Surwade A, Mahale Y, Kadu V | Prospective Study Of Inter-trochanteric Fractures Of Femur Treated With Biaxial Plate Fixation (hip Screw And Derotation Screw) With Indiginous Implant | Trauma International | January-June 2020; 6(1):22-25.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

Full Sized Blog Element (Big Preview Pic)

A Rare Case of Atraumatic Unilateral Isolated Compartment Syndrome of the Peroneal Compartment Leading to Common Peroneal Nerve Palsy

Author: Jun Guang Kendric Tan[1], Rajitha Gunaratne[1], Geoff Cooper[1].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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