Rupture of the gastrocnemius muscle is an uncommon injury, with most cases occurring in athletes and, typically, presenting with the acute onset of focal calf pain and ecchymosis after injury. Although gastrocnemius ruptures are usually treated symptomatically with good results, we present an unusual case of a medial head of gastrocnemius muscle tear complicated by acute compartment syndrome in...

We made a prospective study of 116 patients with tibial diaphyseal fractures who had continuous monitoring of anterior compartment pressure for 24 hours. Three patients had acute compartment syndrome (2.6%). In the first 12 hours of monitoring, 53 patients had absolute pressures over 30 mmHg and 30 had pressures over 40 mmHg, with four higher than 50 mmHg. Only one patient had a differential pr...

Sir, I read with interest the well-written article in the November 2002 issue entitled ‘Clinical findings in the renal victims of a catastrophic disaster: the Marmara earthquake’ by Sever et al. [1]. The reported findings support the attitude not to undertake fasciotomy unless clear objective indications are present such as increased intracompartmental pressure. Fasciotomies were found to be a ...

At present, there is a paucity of literature describing the clinical outcomes following a combined gastrocnemius recession and endoscopic plantar fasciotomy. The purpose of the present report is to describe our preliminary findings following a combined gastrocnemius recession and endoscopic plantar fasciotomy for the treatment of plantar fasciitis and gastrocnemius equinus recalcitrant to conse...

BACKGROUND The aim of our study was to document the estimated sensitivity and specificity of continuous intracompartmental pressure monitoring for the diagnosis of acute compartment syndrome. METHODS From our prospective trauma database, we identified all patients who had sustained a tibial diaphyseal fracture over a ten-year period. A retrospective analysis of 1184 patients was performed to ...

Abstract Aim A surgical patient post fasciotomy presents a challenge to restore cover of the muscle groups. The use suturing dermatotraction techniques cheap and easy means native cover. This systematic review case series controls explored trend this technique including duration delayed primary wound closure, complications failure rates. Method literature was conducted on Medline, Embase CINAHL...