Compartment syndrome can also occur in the thigh (common in weightlifters and cyclists), forearm (rowers and motocross riders), and other muscle compartments of the body. Symptoms are often seen in runners and cross-country skiers. Surgical treatment, involving isolated decompression of the superficial volar compartment, is safe and effective (restoring normal ICP). The most common location of exercise-induced compartment syndrome is the leg, in particular around the shin bone. Most patients are competing motorcyclists. It is based on symptoms and ICP measurements. A high index of suspicion is necessary to diagnose it. 4 Typical symptoms include pain, tenderness, paresthesia, weakness, and cramping. Two of the patients agreed to a new ICP measurement 1 year after the surgery, showing normal values.ĬECS in the forearm in adolescents is a rare condition that occurs after puberty. Chronic exertional compartment syndrome (CECS) is a well-known condition in sports medicine that is characterized by reversible recurrent ischemia to the muscle due to an increased pressure within a limited space in a muscular compartment. After a mean follow-up of 6 years, the condition has not relapsed in any of the patients. The results were objectively classified as excellent in all 4 cases. Other locations in which acute compartment syndrome is seen include the forearm, thigh, buttock, shoulder, hand, and foot. The anterior compartment of the leg is the most common location for compartment syndrome. All these patients remained asymptomatic, recovering their previous competitive levels. Without prompt treatment, acute compartment syndrome can lead to ischemia and eventually, necrosis. They resumed their athletic activities 6 weeks after surgery without complications, increasing their athletic performance level in line with their preoperative status. Open fasciotomy was carried out in 4 patients. Acute compartment syndrome can also be caused by bandages or casts that are too tight. The clinical diagnosis was objectively confirmed by measuring ICP with a low-pressure digital transducer (Stryker). Acute compartment syndrome is a medical emergency and is often the result of a traumatic injury, such as a fracture severe muscle bruises injuries that crush part of the arm or leg serious burns or complications during surgery. Volar and dorsal compartments were affected in 3 patients and isolated volar in 2 cases. It is a clinical diagnosis made from the history and a normal. Pressure measurements of all compartments during exercises that simulate the actions of racing confirm the diagnosis. However, it should be considered in cases of a painful forearm during motorcycle racing. I reviewed 5 patients, 4 male (competing in motorcycling or motocross) and 1 female (CECS in both the legs and forearms), aged between 15 and 18 years. Chronic exertional compartment syndrome of the forearm is an uncommon condition causing transient symptoms of arm pain, decreased grip strength, altered sensation and dysfunction with strenuous activities involving gripping. Exertional compartment syndrome of the forearm is rare. My objective is to present the largest series of CECS of the forearm in adolescents and describe my experience in its management and evolution. The diagnosis is based on history, clinical examination, and compartment pressure readings. Chronic exertional compartment syndrome (CECS) is a well-known process, although rare in the forearm.
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