Gluteal compartment syndrome (GCS): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Gluteal compartment syndrome (GCS): clinical features. The buttocks are painful and swollen. Fully referenced neurology checklist.

Clinical features

  • The buttocks are painful and swollen
  • The pain is worsened by passive movements
  • There is sciatica from sciatic nerve compression
  • There is loss of gluteal muscle mass

Features of primary causes

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Differential diagnosis

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References

  1. Kuhlman GD, Gwathmey KG. Gluteal compartment syndrome with neurologic impairment: Report of 2 cases and review of the literature. Muscle Nerve 2018; 57:325-330.
  2. Schmalzried TP, Neal WC, Eckardt JJ. Gluteal compartment and crush syndromes. Report of three cases and review of the literature. Clin Orthop Relat Res 1992; 277:161-165.
  3. Diaz Dilernia F, Zaidenberg EE, Gamsie S, et al. Gluteal compartment syndrome secondary to pelvic trauma. Case Rep Orthop 2016; 2016:2780295.
  4. Hynes JE, Jackson A. Atraumatic gluteal compartment syndrome. Postgrad Med J 1994; 70:210-212.
  5. Chua HC, Lim T, Lee HC, Lee SW. Gluteal compartment syndrome misdiagnosed as deep vein thrombosis. Int J Clin Pract 2003; 57:633-634.

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