Insidious Onset Compartment Syndrome of the Forearm in a Teenager: A Case Report and Review of the Literature

Compartment syndrome affecting the upper extremities is a relatively underreported event compared with compartment syndrome affecting the lower extremities. Moreover, insidious onset forearm compartment syndrome has been rarely reported and is usually limited to single case reports. We report a compartment syndrome of the forearm in a teenager. She hit her right proximal forearm lightly on the cash register, but there was no pain. However, the next day, she had difficulty in moving her right hand. Although she underwent electrotherapy, her right forearm gradually became swollen, and she felt numbness in the ring and little fingers of her right hand. Six day after the onset, she came to our hospital and underwent fasciotomy. There was no aftereffect, and very good functional recovery was obtained. All clinicians need to keep the case of forearm compartment syndrome in a young individual with a diffuse course, such as in this case in mind.

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Acute compartment syndrome of the forearm associated with transradial coronary intervention

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193419899007 ◽

2020 ◽

Vol 45 (8) ◽

pp. 852-856

Author(s):

Young-Keun Lee ◽

Se-Hwan Lee ◽

Tae-Young Kwon

Keyword(s):

Compartment Syndrome ◽

Radial Artery ◽

Coronary Intervention ◽

Distal Humerus ◽

Level Of Evidence ◽

Forearm Compartment Syndrome ◽

The Mean ◽

Transradial Intervention ◽

Proximal Forearm ◽

Mean Time

This study documents our experience with acute forearm compartment syndrome after percutaneous transradial coronary artery intervention and suggests several strategies to achieve good results. A retrospective review identified the medical records of four patients with acute forearm compartment syndrome after transradial intervention who were treated by urgent fasciotomy. The mean time from the onset of symptoms to operation was 5.7 hours. In three cases bleeding was from radial artery rupture at the puncture site, and one case was caused by brachial artery rupture at the level of the distal humerus and radial artery rupture at the level of proximal forearm. We obtained satisfactory results without any complications. If acute forearm compartment syndrome after transradial intervention is diagnosed, the site of bleeding should be identified preoperatively. Early surgical decompression produced satisfactory results even in elderly patients. Level of evidence: IV

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Acute forearm compartment syndrome: Report of three cases and a review of the literature

Irish Journal of Medical Science (1971 -) ◽

10.1007/bf03166920 ◽

2000 ◽

Vol 169 (2) ◽

pp. 141-142 ◽

Cited By ~ 4

Author(s):

J. M. P. Sparkes ◽

R. Kingston ◽

P. Keogh ◽

S. J. O’Flanagan

Keyword(s):

Compartment Syndrome ◽

Review Of The Literature ◽

Forearm Compartment Syndrome ◽

Syndrome Report

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Thrombotic microangiopathy in the course of catastrophic antiphospholipid syndrome successfully treated with eculizumab: case report and systematic review of the literature

Lupus ◽

10.1177/0961203320917460 ◽

2020 ◽

Vol 29 (6) ◽

pp. 631-639 ◽

Cited By ~ 1

Author(s):

Marta Skoczynska ◽

Mark A Crowther ◽

Malgorzata Chowaniec ◽

Monika Ponikowska ◽

Shruti Chaturvedi ◽

...

Keyword(s):

Systematic Review ◽

Case Report ◽

Antiphospholipid Syndrome ◽

Lupus Erythematosus ◽

Single Case ◽

Case Reports ◽

Review Of The Literature ◽

Catastrophic Antiphospholipid Syndrome ◽

Total Remission

Objective The purpose of this study was to characterize the role of eculizumab, a monoclonal antibody against the terminal complement component C5, in patients with catastrophic antiphospholipid syndrome (CAPS). Methods We present a case report of a patient with systemic lupus erythematosus (SLE) and CAPS treated with eculizumab, as well as results of a systematic review of the literature. Results Including our patient, we identified 11 case reports of patients with CAPS treated with eculizumab. All of them had partial or total remission of symptoms. Conclusion Data on eculizumab efficacy in CAPS are promising but are limited to single case reports. More studies are needed to develop evidence-based recommendations for eculizumab use in CAPS.

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Forearm Compartment Syndrome Caused by Reperfusion Injury

Case Reports in Vascular Medicine ◽

10.1155/2014/931410 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Ufuk Sayar ◽

Tanıl Özer ◽

İlker Mataracı

Keyword(s):

Lower Extremity ◽

Reperfusion Injury ◽

Compartment Syndrome ◽

Surgical Procedures ◽

Brachial Artery ◽

Upper Extremities ◽

Vascular Surgical Procedures ◽

Forearm Compartment Syndrome ◽

Lower Extremity Ischemia ◽

Extremity Ischemia

Compartment syndrome is commonly seen following lower extremity ischemia. However, upper extremities’ compartment syndrome, especially after any vascular surgical procedures, is infrequent. Herein we report a case of an acute forearm compartment syndrome that was developed after delayed brachial artery embolectomy.

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Compartment syndrome associated with the Lloyd Davies position. Three case reports and review of the literature

Anaesthesia ◽

10.1046/j.1365-2044.2001.02221.x ◽

2001 ◽

Vol 56 (10) ◽

pp. 980-987 ◽

Cited By ~ 27

Author(s):

D. Turnbull ◽

G. H. Mills

Keyword(s):

Compartment Syndrome ◽

Case Reports ◽

Review Of The Literature

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Cavernous Malformations of the Optic Nerve and Optic Pathway: A Case Series and Systematic Review of the Literature

Operative Neurosurgery ◽

10.1093/ons/opab284 ◽

2021 ◽

Author(s):

Visish M Srinivasan ◽

Stefan W Koester ◽

Michele S Wang ◽

Redi Rahmani ◽

Kevin L Ma ◽

...

Keyword(s):

Systematic Review ◽

Optic Nerve ◽

Single Case ◽

Case Reports ◽

Case Series ◽

Senior Author ◽

Optic Pathway ◽

Review Of The Literature ◽

Cavernous Malformations ◽

Single Center Experience

Abstract BACKGROUND Although rare, cavernous malformations (CMs) of the optic nerve and anterior optic pathway (optic pathway cavernous malformations [OPCMs]) can occur, as described in several single case reports in the literature. OBJECTIVE To describe the technical aspects of microsurgical management of CMs of the optic pathway on the basis of an extensive single-center experience and review of the literature. METHODS A systematic literature review was performed to augment an earlier review, using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. In addition, an institutional database was searched for all patients undergoing surgical resection of OPCMs. Patient information, surgical technique, and clinical and radiographic outcomes were assessed. RESULTS Since the previous report, 14 CMs were resected at this institution or by the senior author at another institution. In addition, 34 cases were identified in the literature since the systematic review in 2015, including some earlier cases that were not discussed in the previous report. Most OPCMs were resected via pterional, orbital-pterional, and orbitozygomatic craniotomies. Visual outcomes were similar to those in earlier reports, with 70% of patients reporting stable to normal vision postoperatively. CONCLUSION OPCMs can occur throughout the anterior visual pathway and may cause significant symptoms. Surgery is feasible and should be considered for OPCMs presenting to a surface of the nerve. Favorable results can be obtained with resection, although optimal results are obtained with patients who present with milder symptoms without longstanding damage to the optic apparatus.

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Changing Epidemiology of Hepatocellular Adenoma in the United States: Review of the Literature

International Journal of Hepatology ◽

10.1155/2013/604860 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 46

Author(s):

Charissa Y. Chang ◽

Juan C. Hernandez-Prera ◽

Sasan Roayaie ◽

Myron Schwartz ◽

Swan N. Thung

Keyword(s):

United States ◽

Single Case ◽

Case Reports ◽

Hepatocellular Adenoma ◽

Benign Neoplasm ◽

Patient Characteristics ◽

The United States ◽

Review Of The Literature ◽

Oral Contraceptive Pills ◽

Pubmed Search

Hepatocellular adenoma (HCA) is a benign neoplasm arising from hepatocytes. There is evidence that the inflammatory subtype may be associated with obesity and alcohol use and that men with metabolic syndrome may be at risk for malignant transformation of HCA. We sought to explore the combined experience of US centers as reported in the literature to document the epidemiologic shift in risk factors for HCA formation in the United States, namely, a shift from oral contraceptive pills (OCPs) to an emerging role of obesity as a contributing factor.Methods. Publications reporting HCA in the United States were identified through a PubMed search and a review of the literature. We excluded publications prior to 1970, single case reports, and publications for which there was no data available regarding patient characteristics including OCP use and the number of adenomas.Conclusion. Whereas earlier reports of HCA in the United States described cases exclusively in women exposed to OCPs, there is a trend towards an increase in HCAs reported in men, HCAs in the absence of OCP use, and increased reporting of multiple HCAs. This may be a result of newer OCP formulations and increasing prevalence of obesity.

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Volkmann’s contracture of the forearm due to an insect bite: a case report and review of the literature

Annals of The Royal College of Surgeons of England ◽

10.1308/003588413x13511609955210 ◽

2013 ◽

Vol 95 (2) ◽

pp. e12-e13 ◽

Cited By ~ 7

Author(s):

J Hardwicke ◽

S Srivastava

Keyword(s):

Compartment Syndrome ◽

Upper Limb ◽

Single Case ◽

Case Reports ◽

Delay In Diagnosis ◽

Tendon Lengthening ◽

Adder Bite ◽

The Uk ◽

Deep Flexors ◽

Insect Bites

Compartment syndrome affecting the upper limb is reported rarely in the literature and is usually limited to single case reports. Upper limb compartment syndrome secondary to envenomation is rare, especially in the UK. Worldwide, it has been reported resulting from snake and insect bites, mostly from snakes from the Viperidae family, and from insects such as bees and wasps. Reports from the UK are limited to one case of an adder bite. We present a case of a previously fit and well adult who developed an ischaemic contracture of the forearm after an insect bite. Surgical exploration revealed segmental necrosis and contracture of the superficial and deep flexors of the fingers, requiring fasciotomy and tendon-lengthening procedures. This is the first report of a compartment syndrome, or a late ischaemic contracture from an insect bite in the UK. Owing to the rarity of compartment syndrome of the upper limb secondary to envenomation, a delay in diagnosis and treatment can lead to irreversible changes in the muscular compartments of the forearm.

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Dorsal Hemi-Lithotomy Position for Femoral Fracture Nailing and the Well Leg Compartment Syndrome. Report of Two Cases, Review of the Literature

Swiss Surgery ◽

10.1024/1023-9332.8.4.193 ◽

2002 ◽

Vol 8 (4) ◽

pp. 193-196 ◽

Cited By ~ 3

Author(s):

Christodoulou ◽

Garofalo ◽

Echeverri ◽

Pelet ◽

Mouhsine

Keyword(s):

Compartment Syndrome ◽

Femoral Fracture ◽

Lithotomy Position ◽

Review Of The Literature ◽

Revue De La Littérature ◽

Examen Clinique ◽

Positionnement Du Patient ◽

Syndrome Report

Le syndrome de loge sur positionnement prolongé en lithotomie ou en hémilithitomie, est une complication rare en chirurgie. Les dommages neurovasculaires sont souvent permanents. On reporte deux cas d'ostéosynthèse du fémur en position d'hemilithotomie, compliqués d'un syndrome de loge de la jambe controlatérale. Une revue de la littérature sur les 40 cas décrits, jusqu'à ce jour, nous démontre que cette complication est fortement liée au positionnement du patient et à la durée opératoire. Compte tenu du pronostic fonctionnel incertain, une limitation du temps de positionnement en lithotomie doit être recherchée. La surveillance postopératoire doit être rigoureuse et sans hésitation quant à une fasciotomie éventuelle sur simple examen clinique ou après la mesure de la pression dans les loges. Une technique de positionnement sur la table orthopédique est proposée.

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