Atraumatic Isolated Peroneal Compartment Syndrome

Abstract

26-year-old male presented with leg lateral aspect pain with numbness over foot dorsum lateral aspect for 6 hours after rugby training with no trauma. Slight peroneal compartment tightness with negative stretch test. Creatine kinase 4659U/L. Peroneal compartment discomfort was worsening, fasciotomy of all leg compartments was done with only lateral peroneal compartment affected. Sensory changes in presentation highlights the importance of having a high index of suspicion. One could use biochemical mark ers aiding decision making on borderline situations, however we advise decompression in these cases. Although the patient had uneventful postoperative recovery, having ICP monitoring equipment or MRI would prevent overzealous opening of posterior compartment.