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PEDIATRICS Vol. 102 No. 6 December 1998, pp. 1474-1474

EXPERIENCE AND REASON:
Lower Extremity Compartment Syndrome Resulting From a Toddler's Bed

Received Feb 9, 1998; accepted May 18, 1998.

Jeffrey F. Haasbeek

Pediatric Orthopaedics Altru Clinic Grand Forks, ND 58206-6003

This report recounts an unusual case of compartment syndrome of the leg and foot resulting from hanging on the side of a toddler's bed in a 11/2-year-old boy. Parents apparently found the patient on the side of the bed in the morning. Presentation to hospital revealed obvious tense compartments of the leg and foot. Intraoperative pressures were >100 mm Hg. Complete fasciotomies with secondary closure and skin grafting were performed. An ankle-foot orthrosis was used to prevent progression of ankle equinus. Jobst pressure garments were used to prevent hypertrophic scarring. One-year follow-up showed normal gait, function, and joint range of motion. Social services were consulted and the US Consumer Product Safety Commission was notified. As pediatric physicians, we need to be aware of possible and potential hazards in the child's environment. This case represents a unique case of compartment syndrome related to persistent limb elevation and compression.

 Key words:  toddler bed, safety, compartment syndrome.


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