Send to

Choose Destination
See comment in PubMed Commons below
BMJ Case Rep. 2017 Jul 27;2017. pii: bcr-2017-220218. doi: 10.1136/bcr-2017-220218.

Postoperative gluteal compartment syndrome following microsurgical free-flap hand reconstruction: the importance of early recognition and treatment.

Author information

Department of Plastic Surgery, Pinderfields General Hospital, Wakefield, UK.
Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.


Compartment syndrome, a surgical emergency, is caused by an increase in pressure within a closed osseofascial space, often due to trauma. This causes a decrease in tissue perfusion and ultimately tissue necrosis and multiorgan failure if not treated in a timely fashion. Gluteal compartment syndrome is a rare variant and often caused by a period of immobilisation secondary to intoxication with alcohol or drugs or during long operations, typically in the supine position. We report on a case of gluteal compartment syndrome developing in a patient postoperatively following a long microsurgical procedure to a hand, which has not been documented before. Although rare, we highlight the clinical course and diagnostic criteria, which are essential for early identification and treatment.


medical education; orthopaedic and trauma surgery; pain; plastic and reconstructive surgery; trauma


Conflict of interest statement

Competing interests: None declared.

PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Support Center