We present a 26-year-old active duty man who sustained a coccygeal fracture and gluteus maximus hematoma after a fall from height during training. The patient returned 3 weeks postinjury with symptoms and physical examination findings concerning for gluteal compartment syndrome. An expanding gluteal hematoma was confirmed on imaging and the patient was taken to the operating room for emergent evacuation and endovascular hemostasis.
This case of gluteal compartment syndrome is a unique contribution to the literature with respect to the specific vascular injury observed and the delayed presentation of gluteal compartment syndrome.
1Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina
2Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland
E-mail address for M.J. Braswell: Braswellmj@gmail.com
Investigation performed at Walter Reed National Military Medical Center, Bethesda, Maryland
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A838).