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Compartment syndrome
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=== Thigh - rare === ** Occurs with crush injury, venous outflow obstruction, or extensive trauma (explosions/high-velocity rifle) ** Likely to involve all three compartments when it occurs ** Anterior - sartorius, quad femoris, femoral nerve *** Almost always get pain with passive motion *** Technique: **** Incise from GT posterolaterally to just above the lateral epicondyle **** Expose iliotibial band and incise longitudinally along the length of the skin incision, which decompresses the anterior compartment ** Medial - gracilis, adductor, obturator nerve *** Medial incision which stays posterior to Hunter's canal and opens the fascia over the gracilis and adductor muscles *** Decompression is rarely necessary, but can be done through a medial incision over the adductor group ** Posterior - biceps femoris, semitendinosus, semimembranosus, sciatic nerve *** Technique: **** Same incision as above **** Then reflect vastus lateral medially to expose the lateral intermuscular septum, which is incised over the length of the skin incision to release the posterior compartment **
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