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Acute Bilateral Exertional Lateral Leg Compartment Syndrome with Delayed PresentationA Case Report
Rachel M. Frank, MD1; Thomas Hearty, MD, DPT2; George T. Chiampas, DO3; Steven A. Kodros, MD2
1 Department of Orthopaedic Surgery, Rush University Medical Center, 1600 West Harrison Street, Suite 300, Chicago, IL 60612. E-mail address: rmfrank3@gmail.com
2 Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair, Suite 1350, Chicago, IL 60611
3 Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, Suite 200, Chicago, IL 60611
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Investigation performed at Northwestern University Feinberg School of Medicine, Chicago, Illinois



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Dec 26;2(4):e81 1-6. doi: 10.2106/JBJS.CC.L.00100
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Extract

Acute compartment syndrome is defined as an increased pressure within a closed fascial space leading to reduced capillary perfusion that is inadequate for tissue viability1. Compartment syndrome of the lower leg can be classified by location (lateral, anterior, deep posterior, or superficial posterior), chronicity (acute or chronic), and etiology (traumatic or exertional). Exertional compartment syndrome has been well described in the orthopaedic literature; it is usually chronic in nature and does not present emergently2,3. Typically, acute compartment syndrome of the lower leg affects the anterior compartment and is caused by trauma; it rarely occurs bilaterally4-8. We present a unique case of acute exertional compartment syndrome with a delayed presentation of four days after the inciting event. The patient was informed that data concerning this case would be submitted for publication, and he provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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