Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Acute Gluteal Compartment Syndrome without Gluteal Hematoma -A Case Report -

  • Kim, Kwang-Kyoun (Department of Orthopedic Surgery, Konyang University, College of Medicine) ;
  • Won, Ye-Yeon (Department of Orthopedic Surgery, Ajou University, College of Medicine) ;
  • Yi, Jin-Woong (Department of Orthopedic Surgery, Konyang University, College of Medicine) ;
  • Lee, Jung-Bum (Department of Orthopedic Surgery, Konyang University, College of Medicine) ;
  • Kim, Do-Yeon (Department of Orthopedic Surgery, Konyang University, College of Medicine) ;
  • Jo, In-Ho (Department of Orthopedic Surgery, Konyang University, College of Medicine)
  • Received : 2011.11.22
  • Accepted : 2012.06.07
  • Published : 2012.06.30
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Abstract

Acute gluteal compartment syndrome (AGCS) is a rare condition associated with trauma, drug abuse, alcohol intoxication, prolonged immobilization, hip arthroplasty and epidural anesthesia. We report the case of a 42-year-old woman presenting severe buttock pain following decreased lower extremity motor function after an incident whereby she rolled down a flight of stairs. We performed fasciotomy of the gluteal fascia in order to provide relief from acute gluteal compartment syndrome. At the 2 month follow up visit her sensory and motor function had improved. Acute gluteal compartment syndrome is a rare condition which can result in misdiagnosis or delayed diagnosis. Careful consideration is needed for patients suffering severe buttock pain.

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