The sequelae of an undiagnosed, an insufficiently treated or unpreventable (by crush injury) com- partment or postischemic syndrome, most often after lower leg fracture or popliteal artery rupture, are caused by necrosis and contracture of the extrinsic foot muscles. The more harmless hammer toes due to contracture of the intrinsic muscles follow most often an untreated isolated foot CS induced e. g. by a calcaneal fracture. In combined CS of the lower leg and the foot or in some iso- lated cases of mainly one involved muscle we see different types of deformity (Types 1–5). The dif- ferent types are also altered by involvement of nerve damages. Due to the involved and the amount of scarred muscles we observe flexible or contract hammer toes, claw toes, hallux flexus, hallux valgus, foot equinus or the severest form of a postcompartment or postischemic pes equinovarus. Less common (16 of 66 cases) in our seria of corrections were the deformities caused by an isolated CS, such as necrosis of the anterior tibialis, long extensor or the peroneal muscles. Most surprisingly have been few cases of a functional hallux flexus or a severe hallux valgus in a boy.

Center of Orthopedics and Traumatology of the University Hospital Carl Gustav Carus at the Technical University of Dresden Germany

Klasifikace následků kompartment syndromu (CS) nebo postischemického syndromu (PIS)dolní končetiny a nohy u dospělých, adolescentů a dětí

Literatura