The Journal of Bone and Joint Surgery (American). 2007;89:1337-1342.
doi:10.2106/JBJS.F.00979
© 2007 The Journal of Bone and Joint Surgery, Inc.
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 Trauma Test 18: Summer 2007 (publication date August 15, 2007; expiration d...
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Atraumatic Compartment Syndrome: A Manifestation of Toxic Shock and Infectious Pyomyositis in a Child

A Case Report

SangDo Park, MD1, Joshua B. Shatsky, MD1, Bruce R. Pawel, MD1 and Lawrence Wells, MD1

1 Division of Pediatric Orthopaedic Surgery, The Children's Hospital of Philadelphia, Richard D. Wood Center, 2nd Floor, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399. E-mail address for L. Wells: WellsL@email.chop.edu

Investigation performed at The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

The first 150 words of the full text of this article appear below.


   Introduction
 
Compartment syndrome of the extremity is a condition in which elevated pressure within a fascial compartment compromises perfusion of the enclosed tissues and ultimately leads to loss of function of the extremity1. Presenting acutely, compartment syndrome is usually induced by trauma and requires urgent treatment with fasciotomy to lower compartment pressure and to reduce the amount of myonecrosis that may occur. We present an unusual case of compartment syndrome that was caused by infection and that was not secondary to injury. Our patient and her family were informed that data from the case would be submitted for publication.


   Case Report
 
A previously healthy eleven-year-old girl presented to the emergency room with pain in the left leg and an inability to walk. The leg had become increasingly swollen and painful during the two-day period prior to admission, even though there was no history of trauma. The patient had had fever for eight . . . [Full Text of this Article]


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