A 27-year-old man sustained an undisplaced midshaft fracture of his left tibia after bumper pinning his leg in a car accident. Following an orthopedic consult, he was put in a long leg cast and sent home, with orthopedics follow up arranged for the next day. Overnight he represented to the emergency department with increased pain in his leg and paraesthesia in his toes. The cast was removed. Peripheral pulses were intact, but the anterior compartment of the leg, in particular, was tense and tender to palpation.
He was taken to the operating theatre in the middle of the night after an anterior compartment pressure measurement of 60 mmHg was obtained. What can be the probable diagnosis for this patient? What could be the emergency management of the same? *This case is from Docplexus editorial team for educative purpose only Source: Lifeinthefastlane.
