Compartment syndrome of the foot

The hindfoot compartment syndrome occurs in 10% of cases after calcaneal fracture. We analyzed the pathological anatomical reasons for this syndrome using the 10 feet from cadavers plastinated and cut into 4‐mm thick sequential sections. CT scans of patients with calcaneal fractures were then compar...

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Veröffentlicht in:Clinical anatomy (New York, N.Y.) N.Y.), 2001-05, Vol.14 (3), p.184-189
Hauptverfasser: Andermahr, Jonas, Helling, Hans Joachim, Tsironis, Kostas, Rehm, Klaus Emil, Koebke, Jürgen
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container_end_page 189
container_issue 3
container_start_page 184
container_title Clinical anatomy (New York, N.Y.)
container_volume 14
creator Andermahr, Jonas
Helling, Hans Joachim
Tsironis, Kostas
Rehm, Klaus Emil
Koebke, Jürgen
description The hindfoot compartment syndrome occurs in 10% of cases after calcaneal fracture. We analyzed the pathological anatomical reasons for this syndrome using the 10 feet from cadavers plastinated and cut into 4‐mm thick sequential sections. CT scans of patients with calcaneal fractures were then compared with the anatomical findings. The key component of this compartment syndrome is the quadratus plantae muscle. The sustentacular calcaneal fragment causes bleeding from the bone or the medial calcaneal arteries into this compartment. The medial and lateral plantar nerves and vessels are then compressed between the quadratus plantae muscle and the short flexor digitorum muscle. Relieving pressure by surgical decompression of the quadratus plantae compartment via a medial or plantar approach is the recommended treatment. Clin. Anat. 14:184–189, 2001. © 2001 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ca.1031
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We analyzed the pathological anatomical reasons for this syndrome using the 10 feet from cadavers plastinated and cut into 4‐mm thick sequential sections. CT scans of patients with calcaneal fractures were then compared with the anatomical findings. The key component of this compartment syndrome is the quadratus plantae muscle. The sustentacular calcaneal fragment causes bleeding from the bone or the medial calcaneal arteries into this compartment. The medial and lateral plantar nerves and vessels are then compressed between the quadratus plantae muscle and the short flexor digitorum muscle. Relieving pressure by surgical decompression of the quadratus plantae compartment via a medial or plantar approach is the recommended treatment. Clin. 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subjects Anatomy, Cross-Sectional
Calcaneus - anatomy & histology
Calcaneus - injuries
Calcaneus - pathology
calcaneus fracture
compartment syndrome
Compartment Syndromes - etiology
Compartment Syndromes - pathology
Foot Deformities, Acquired - etiology
Foot Deformities, Acquired - pathology
Fractures, Bone - complications
Heel - anatomy & histology
Heel - pathology
Humans
Muscle, Skeletal - pathology
quadratus plantae muscle
Tomography, X-Ray Computed
title Compartment syndrome of the foot
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