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Acute compartment syndrome — RCPSC EM MCQ

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EasyMusculoskeletalAcute compartment syndromeRCPSC EM

A 29-year-old man has severe leg pain after a tibial shaft fracture. Pain is escalating despite opioids, compartments are tense, passive toe stretch is very painful, and dorsalis pedis pulse is present. What is the most likely diagnosis?

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Correct answer: E — Acute compartment syndrome

Compartment syndrome is a clinical diagnosis; severe pain, pain with passive stretch, and tense compartments are key. Pulses may remain present until late.

Reference: Canadian orthopaedic trauma practice