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Acute compartment syndrome — MRCEM SBA MCQ

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EasySoft Tissue InjuryAcute compartment syndromeMRCEM SBA

A 21-year-old rugby player has severe lower-leg pain after a direct blow. Pain is escalating, passive toe stretch is very painful, and the anterior compartment feels tense. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Emergency referral for suspected acute compartment syndrome

Acute compartment syndrome is a limb-threatening emergency. Pain out of proportion, pain with passive stretch and tense compartments are key signs. Pulses may remain present, so their presence does not exclude the diagnosis.

Reference: NICE trauma guidance; Brukner & Khan