BMJ Case Reports 2010; doi:10.1136/bcr.12.2009.2513
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Increasing thigh pain: acute compartment syndrome!

  1. Paul W Ackermann1,
  2. Fausto Labruto2,
  3. Rüdiger J Weiss1,
  4. Karl-Åke Jansson1
  1. 1Karolinska Institutet, Molecular Medicine and Surgery, Orthopedic Department, Karolinska University Hospital, Stockholm, 17176, Sweden
  2. 2Karolinska Institutet, Department of Radiology, Karolinska University Hospital, Stockholm, 17176, Sweden
  1. Correspondence to Paul W Ackermann, paul.ackermann{at}
  • Published 8 February 2010


A previously healthy, 45-year-old man presented with a 2 day history of increasing pain in the left thigh, which was swollen and tender, without any history of trauma. Blood pressure, peripheral pulses and laboratory tests were normal. Compartmental pressure in the anterior left thigh was 50 mm Hg (normally <30 mm Hg), indicating an acute compartment syndrome (ACS).1 Magnetic resonance imaging (MRI) examination, obtained in order …

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