LE SYNDROME COMPARTIMENTAL GLUTEAL APRES ARTHROPLASTIE TOTALE DE LA HANCHE

2024/12/09 by HM.BEN AYED, F. HADDED, H .CHAABOUNI
#Compartment syndrome #Fasciotomy #Fasciotomy. #Gluteal region

paper · doi:10.71776/pist-jims-189281

Abstract

Gluteal compartment syndrome is extremely rare compared to other anatomical regions, such as the forearm or the lower leg. It results often from atraumatic causes following long immobilization because of loss of the consciousness due to drug abuse or alcoholic intoxication or incorrect positioning during surgical procedures but it can occur after traumatic causes. Early diagnosis and fasciotomy are necessary to ovoid irreversible loss of gluteal muscles, sepsis, sciatic nerve palsy, renal failure and death. We report the case of a 29-year-old man who developed gluteal compartment syndrome after a difficult total hip arthroplasty. Physical examination showed tense and swollen buttocks and severe pain caused by passive range of motion. A large fasciotomy was performed in emergency to decompress gluteal compartments with a favorable outcome.

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