{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:07:03Z","timestamp":1756339623950,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,4,3]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Acute compartment syndrome (ACS) of the thigh following femoral fracture has been rarely reported in previous literature. This condition must be diagnosed quickly to prevent the affected limb becoming ischaemic. We document the management of ACS of the thigh in a healthy male patient who suffered a proximal femur fracture following a high-speed road traffic accident. Early identification of characteristic clinical signs allowed for a diagnosis of ACS to be made and then managed with an emergency fasciotomy. The patient is a bodybuilder with an exceptionally large muscle mass. This made ACS more difficult to identify and wound closure a complex process over a period of 13 days. We aimed to highlight the importance of maintaining a high index of suspicion for ACS following traumatic injuries, recognising that ACS in larger patients can be mistaken for an increased analgesia requirement and closing fasciotomies slowly using mass tension sutures.<\/jats:p>","DOI":"10.1136\/bcr-2021-247241","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T12:54:27Z","timestamp":1649768067000},"page":"e247241","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute compartment syndrome of the thigh in a body builder following\u202fopen reduction and internal fixation\u202ffor\u202fproximal femur fracture"],"prefix":"10.1136","volume":"15","author":[{"given":"Matthew","family":"Pritchard","sequence":"first","affiliation":[{"name":"Emergency Department, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Baggott","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Ashford and Saint Peter's Hospitals NHS Trust, Chertsey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liam","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Emergency Department, Ealing Hospital NHS Trust, Southall, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Jacob","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Ashford and Saint Peter's Hospitals NHS Trust, Chertsey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"2025082712444349000_15.4.e247241.1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B2 .9799"},{"key":"2025082712444349000_15.4.e247241.2","unstructured":"TeachMeAnatomy . Cross section of the distal thigh, 2021. Available: https:\/\/teachmeanatomy.info\/lower-limb\/muscles\/thigh\/anterior-compartment\/ [Accessed 13 Dec 2021]."},{"key":"2025082712444349000_15.4.e247241.3","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s001130050536","article-title":"[Compartment syndrome of the thigh with sciatic nerve paralysis]","volume":"103","author":"Holbein","year":"2000","journal-title":"Unfallchirurg"},{"key":"2025082712444349000_15.4.e247241.4","doi-asserted-by":"crossref","unstructured":"Burghardt R , Siebenlist S , D\u00f6bele S . Compartment syndrome of the thigh:\u202fA case report with delayed onset after stable pelvic ring fracture and\u202fchronic anticoagulation therapy. BMC\u202fGeriatr 2010;10.doi:10.1186\/1471-2318-10-51","DOI":"10.1186\/1471-2318-10-51"},{"key":"2025082712444349000_15.4.e247241.5","unstructured":"Ayyildiz A . Acute\u202fCompartment Syndrome in a\u202fBodybuilder Using Anabolic-Androgenic\u202fSteroids:\u202fCase Report. Jacobs Journal of Sports Medicine, 2019."},{"key":"2025082712444349000_15.4.e247241.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.34.4.308"},{"key":"2025082712444349000_15.4.e247241.7","unstructured":"BOAST . British Orthopaedic Association (BOA) guidelines for\u202fDiagnosis and Management of Compartment Syndrome of the Limbs, 2014."},{"key":"2025082712444349000_15.4.e247241.8","unstructured":"Torlincasi A , Lopez A , Waseem M . Acute compartment syndrome. Treasure Island (FL): StatPearls, 2021. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448124\/"},{"key":"2025082712444349000_15.4.e247241.9","unstructured":"Trafton P . Compartment syndrome [Internet]. Surgeryreference.aofoundation.org, 2021. Available: https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/tibial-shaft\/further-reading\/compartment-syndrome [Accessed 26 Nov 2021]."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:44:48Z","timestamp":1756323888000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4,12]]},"published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1136\/bcr-2021-247241"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247241","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}