Compartment syndrome with mononeuropathies after anterior cruciate ligament reconstruction

Brett J. Kindle, Naveen S Murthy, Kathryn Stolp

Research output: Contribution to journalArticle

Abstract

Compartment syndrome rarely follows anterior cruciate ligament reconstruction. However, when it does, it may result in mononeuropathies that are amenable to neurolysis. The authors of this study present an 18-yr-old woman who sustained a right anterior cruciate ligament tear and underwent uneventful anterior cruciate ligament reconstruction using femoral and popliteal nerve blocks. Postoperatively, she developed compartment syndrome requiring emergent fasciotomies. At 11 wks after fasciotomy, results of electrophysiologic tests showed evidence of severe fibular and tibial neuropathies. Magnetic resonance images showed extensive tricompartmental myonecrosis. Fibular and tibial neurolysis as well as decompression were performed, followed by intensive outpatient rehabilitation. At the 6-mo follow-up, she reported resolution of pain as well as significant improvement in sensation, strength, and function. Early recognition and intervention are crucial to prevent serious neurologic damage. Excessive tourniquet pressure and anesthetic nerve blocks may have been responsible. -abs.

Original languageEnglish (US)
Pages (from-to)e37-e41
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume94
Issue number5
DOIs
StatePublished - May 21 2015

    Fingerprint

Keywords

  • Anterior Cruciate Ligament
  • Compartment Syndrome
  • Decompression
  • Fasciotomy
  • Fibular, Tibial
  • Mononeuropathy
  • Neurolysis
  • Reconstruction

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this