Gluteal compartment syndrome and superior gluteal artery injury as a result of simple hip dislocation: a case report

Abstract

Gluteal compartment syndrome as a result of hematoma from a ruptured superior gluteal artery is exceedingly rare; to date, one similar case in a pelvic fracture model has been reported. We report a case of acute gluteal compartment syndrome from a ruptured superior gluteal artery resulting from a simple posterior hip dislocation in an otherwise healthy young male. Timely surgical exploration, evacuation of the hematoma, and achievement of hemostasis allowed for an excellent outcome at follow-up. We review the gluteal compartments as well as treatment protocols for this injury.

Figure 1

AP pelvis radiograph revealed a simple right hip dislocation.

Figures 2A and B

Post-reduction pelvic CT shows no acetabular or pelvic ring fracture; decrease in soft tissue planes is noted posterior to the right hip.

Figure 3

AP pelvis radiograph at final follow-up showed no evidence of osteonecrosis or degenerative changes.