First Case of Surgically Treated Chronic Exertional

Military medicine · Jan 2024

Case Reports

First Case of Surgically Treated Chronic Exertional Compartment Syndrome of the Arm.

This paper reports the first case of chronic exertional compartment syndrome in the arm treated surgically. The diagnosis was made in a patient who is under 30 years old, military, and very athletic, with recurrent exertional pain in the anterior compartment of the arms associated with rhabdomyolysis. The high-pressure measurements in the arms' anterior compartment after exertional exercise confirmed the diagnosis. Given the patient's functional demands, a surgical treatment of fasciotomy of the anterior compartment by miniapproach was performed and allowed the resolution of symptomatology with a return to sport at the same level after 3 months.

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- Emilie Bilichtin, Camille Choufani, Clément Derkenne, Clotilde Vioujard, and Romain Pacull.
- Orthopedic Surgery Department, Saint-Anne Army Instruction Hospital, Toulon 83000, France.
- Mil Med. 2024 Jan 23; 189 (1-2): e454e456e454-e456.
AbstractThis paper reports the first case of chronic exertional compartment syndrome in the arm treated surgically. The diagnosis was made in a patient who is under 30 years old, military, and very athletic, with recurrent exertional pain in the anterior compartment of the arms associated with rhabdomyolysis. The high-pressure measurements in the arms' anterior compartment after exertional exercise confirmed the diagnosis. Given the patient's functional demands, a surgical treatment of fasciotomy of the anterior compartment by miniapproach was performed and allowed the resolution of symptomatology with a return to sport at the same level after 3 months.© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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First Case of Surgically Treated Chronic Exertional Compartment Syndrome of the Arm.

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