Monday, February 27, 2012

Everything Has Its Place

A 25 year old man has a soccer injury and fractures the tibial diaphysis in his right leg. However, he doesn't have health insurance so he doesn't go to the emergency department immediately. Instead, he wraps his leg and hopes it will get better. Unfortunately it doesn't. In the next few hours, the pain rapidly worsens, spreading further than just the site of the initial injury. He describes this pain as deep aching associated with numbness and tingling. He finally goes to urgent care where passive range of motion causes pain. The skin has a tense woody feel. His sensation is diminished. He goes to surgery.


Challenge: What's your diagnosis?

Image shown under GNU Free Documentation License.

9 comments:

Reflex Hammer said...

Compartment syndrome!

Anonymous said...

Compartment Syndrome?

webhill said...

compartment syndrome

Anonymous said...

Loge syndrome, Compartiment syndrome.

Jyrvindrial said...

Compartmentsyndrome

Sarah said...

compartment syndrome?

idy said...

leg compartment syndrome

Michelle said...

compartment syndrome?

Craig Chen said...

this case got record responses! nice job everyone
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Everything Has Its Place

This is acute compartment syndrome status post fasciotomy.

Sources: UpToDate; Wikipedia.