Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2023; 14(7): 582-588
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.582
Isolated lateral leg compartment syndrome: A case report
Majd M Alrayes, Mohammad Alqudah, Walaa Bani Hamad, Mohamed Sukeik
Majd M Alrayes, Department of Trauma and Orthopedics, Dammam Medical Complex, Dammam 32210, Saudi Arabia
Mohammad Alqudah, Mohamed Sukeik, Department of Trauma and Orthopaedics, Dr. Sulaiman Al-Habib Hospital, Khobar 34423, Saudi Arabia
Walaa Bani Hamad, Department of Radiology, Dr. Sulaiman Al-Habib Hospital, Khobar 34423, Saudi Arabia
Author contributions: Alrayes MM and Alqudah M contributed to manuscript writing, and literature search; Bani Hamad W contributed by providing and reviewing the radiological content; Sukeik M was the primary surgeon of the case and contributed to scientific content, paper revision, editing, and overall supervision.
Informed consent statement: Informed consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohamed Sukeik, FRCS (Ed), MD, Surgeon, Department of Trauma and Orthopaedics, Dr. Sulaiman Al-Habib Hospital, King Salman Bin Abdulaziz Road, Khobar 34423, Saudi Arabia. msukeik@hotmail.com
Received: February 10, 2023
Peer-review started: February 10, 2023
First decision: April 13, 2023
Revised: April 25, 2023
Accepted: April 27, 2023
Article in press: April 27, 2023
Published online: July 18, 2023
Processing time: 158 Days and 2.3 Hours
Core Tip

Core Tip: Atraumatic isolated lateral leg compartment syndrome is rare and constitutes a diagnostic challenge due to the atypical presentation and lack of pathognomonic signs. It should be considered even in the context of atraumatic events. Pain on passive inversion and dorsiflexion and weak active eversion may be suggested as sensitive signs. Drop foot is a delayed presentation as a result of deep peroneal nerve involvement. A high index of clinical suspicion is the key to early diagnosis and timely surgical intervention.