Braswell Matthew J, Anderson Ashley, Donohue Michael, DiVito Michelle C, White Paul W, Wagner Scott C
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina.
Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0346. doi: 10.2106/JBJS.CC.18.00346.
We present a 26-year-old active duty man who sustained a coccygeal fracture and gluteus maximus hematoma after a fall from height during training. The patient returned 3 weeks postinjury with symptoms and physical examination findings concerning for gluteal compartment syndrome. An expanding gluteal hematoma was confirmed on imaging and the patient was taken to the operating room for emergent evacuation and endovascular hemostasis.
This case of gluteal compartment syndrome is a unique contribution to the literature with respect to the specific vascular injury observed and the delayed presentation of gluteal compartment syndrome.
我们报告一名26岁的现役军人，他在训练中从高处坠落，导致尾骨骨折和臀大肌血肿。患者在受伤后3周因疑似臀肌间室综合征的症状和体格检查结果前来复诊。影像学检查证实存在逐渐增大的臀肌血肿，患者被送往手术室进行紧急血肿清除和血管内止血。
就所观察到的特定血管损伤以及臀肌间室综合征的延迟表现而言，该例臀肌间室综合征病例为文献提供了独特的资料。
