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Case report
Acute compartment syndrome of the foot due to a twisting injury while playing sports
  1. Humayun Hijazi,
  2. Marc O'Reilly,
  3. Darren Patrick Moloney and
  4. Thomas Bayer
  1. Trauma and Orthopaedics, Midland Regional Hospital Tullamore, Tullamore, Offaly, Ireland
  1. Correspondence to Dr Humayun Hijazi; humayunhajzi{at}


Acute compartment syndrome (ACS) of the foot is one of the most severe injuries of the foot and typically results from a fracture, crush or vascular injury. ACS, isolated to a single foot compartment, is a rare complication following a simple twisting injury of the ankle. In this article, the authors present the case report of a 25-year-old man who developed ACS, isolated to the lateral compartment of the foot, secondary to rupture of the lateral ligament complex and subsequent haematoma formation. An emergency fasciotomy was performed and the patient had complete resolution of his symptoms. ACS is usually associated with significant trauma, however, there are reported cases in the literature associated with a minor injury. In this case report, the authors describe how ACS developed following a simple ankle sprain playing sports in the absence of a high-energy insult or fracture.

  • trauma
  • orthopaedics
  • sports and exercise medicine
  • ankle sprains

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  • Contributors HH was involved in primary patient care and the index procedure. MO helped in the literature search. DPM was involved in proof reading the case and editing where appropriate. Mr TB was the operating consultant and kindly encouraged and overall helped with the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.