Clinical Case Database / Category: Case Based Discussion

Acute compartment syndrome: explaining the confusing facts

Publication details

Firas Arnaout MD MRCS (Ed)
Foundation Years Journal, volume 2, issue 1, p.50 (123Doc Education, London, January 2008)


A 23-year-old man sustained an inversion injury to the left ankle during a football competition. He felt a pop in his lower leg and developed immediate pain and a limp. The anterolateral left leg became increasingly painful 8 hours after the injury. He was seen at a local emergency department, but radiographs of the ankle were negative. He was discharged with the diagnosis of an ankle sprain, but he continued to have increasing pain and swelling in the anterolateral leg, which was not relieved by analgesics. At 24 hours after his injury, he was sent by his General Practioner (GP) to the emergency department.

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Firas Arnaout MD MRCS (Ed) (Corresponding author)

Peterborough and Stamford Hospitals
3 Thorpe Road


2. Mark Beers, The Merck Manual for diagnosis and therapy
3. Duke University Medical Centre.Wheeless’ text book of Orthopaedics
4. Harry B Skinner.Current diagnosis and treatment in Orthopaedics, fourth edition


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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