Acute compartment syndrome of the thigh following minor trauma in a patient on dual anti-platelet therapy

Authors


  • Lorenzo J Calabro, MBBS, House officer (Orthopaedics); Charles G Dick, MBBS, Registrar (Orthopaedics); Michael J Lutz, MBBS, FRACS (Orth), Visiting surgeon.

Dr. Lorenzo Calabro, QEII Jubilee Hospital, Coopers Plains, Qld 4108, Australia. Email: Lorenzo_calabro@health.qld.gov.au

Abstract

Acute compartment syndrome of the thigh is a rare surgical emergency. It is usually associated with high energy trauma and concomitant femoral fracture. We present the case of a 54 year old man who developed acute compartment syndrome of the thigh following a low energy traumatic hamstring tear. Background anti-platelet therapy and hospital prescribed anticoagulants were likely contributors to this pathology. We describe these factors and discuss the issues associated with assessment of minor trauma in the anti-coagulated patient.

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