scholarly journals Atypical Signs of Compartment Syndrome Caused by Pressure Injury in Forearm

2021 ◽  
Vol 17 (1) ◽  
pp. 53-56
Author(s):  
Tae Hyung Kim ◽  
Hwan Jun Choi ◽  
Syeo Young Wee ◽  
Jeong Jin Chun
Keyword(s):  
Compartment Syndrome ◽  
Delayed Presentation ◽  
Open Wound ◽  
Muscle Rupture ◽  
Flexor Muscles ◽  
Pressure Injury ◽  
Forearm Compartment Syndrome ◽  
Volar Forearm ◽  
The Right ◽  
Rare Diagnosis

Acute compartment syndrome (ACS) is a serious complication which is usually associated with fractures. Herein, we report a case of a patient with volar forearm compartment syndrome associated with closed muscle rupture without fracture of which the only external signs were superficial contact burns and pain. A 21-year-old man presented to our emergency department with painful swelling in the right forearm after being caught in a machine. Although he presented with pain, no open wound or fracture was seen. The patient was presumed to have a contusion and discharged. He presented with worsening pain the next day, when typical clinical features of ACS were observed and emergency fasciotomy was performed. Intraoperatively, ruptured flexor muscles were noted. Delayed presentation of forearm compartment syndrome accompanied by closed muscle rupture without fracture is extremely rare. Diagnosis is not easy because severe pain could be the only clue and can mask the signs of compartment syndrome, at risk of being missed.

scholarly journals Delayed Presentation of Gluteal Compartment Syndrome: The Argument for Fasciotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
John E. Lawrence ◽  
Duncan J. Cundall-Curry ◽  
Kuldeep K. Stohr
Keyword(s):  
Compartment Syndrome ◽  
Kidney Injury ◽  
Limb Ischaemia ◽  
Delayed Presentation ◽  
Neurological Improvement ◽  
Tertiary Centre ◽  
Acute Limb Ischaemia ◽  
Nerve Recovery ◽  
The Right ◽  
Gluteal Compartment Syndrome

A male patient in his fifties presented to his local hospital with numbness and weakness of the right leg which left him unable to mobilise. He reported injecting heroin the previous morning. Following an initial diagnosis of acute limb ischaemia the patient was transferred to a tertiary centre where Computed Tomography Angiography was reported as normal. Detailed neurological examination revealed weakness in hip flexion and extension (1/5 on the Medical Research Council scale) with complete paralysis of muscle groups distal to this. Sensation to pinprick and light touch was globally reduced. Blood tests revealed acute kidney injury with raised creatinine kinase and the patient was treated for rhabdomyolysis. Orthopaedic referral was made the following day and a diagnosis of gluteal compartment syndrome (GCS) was made. Emergency fasciotomy was performed 56 hours after the onset of symptoms. There was immediate neurological improvement following decompression and the patient was rehabilitated with complete nerve recovery and function at eight-week follow-up. This is the first documented case of full functional recovery following a delayed presentation of GCS with sciatic nerve palsy. We discuss the arguments for and against fasciotomy in cases of compartment syndrome with significant delay in presentation or diagnosis.

scholarly journals Compartment Syndrome: an Acute Femoral Stress Fracture in a Young Male Athlete

2021 ◽  
Author(s):  
Amelie Kanovsky ◽  
Ernst J. Mueller
Keyword(s):  
Compartment Syndrome ◽  
Muscle Mass ◽  
Stress Fracture ◽  
Acute Stress ◽  
Young Male ◽  
Young Males ◽  
Fatigued Muscle ◽  
Fracture Osteosynthesis ◽  
Initial Fracture ◽  
The Right

AbstractThe incidence of an acute compartment syndrome (ACS) of the thigh is less than 1%. It is most common in the setting of muscle overuse or muscle injury, as well as secondary to trauma, such as a femoral fracture. We present a case of an ACS in a young, healthy, and semiprofessional athlete with normal coagulation who sustained an acute stress fracture of the distal femur. After the initial fracture osteosynthesis, the patient suffered from a compartment syndrome in the right anterior aspect of the distal thigh. Following rapid surgical fasciotomy, the case was uneventful, and he returned to his preinjury sport level without any neurological consequences. This case confirms that ACS in the thigh is rare, but mainly occurs in young males with a large muscle mass due to participation in various athletic programs. We hypothesize that constant muscle over-usage primes for a larger amount of contused and protruding muscle mass in the small femoral compartment. Hence, the fatigued muscle subjects the bone to an increased mechanical force resulting in an overloading process. This ensues the accumulation of femoral microfractures and primes for the occurrence of an increased rate of stress fractures and an ACS in the thigh.

Compartment Syndrome and Wrist Disarticulation After a Catfish Sting

Hand ◽  
2021 ◽  
pp. 155894472110632
Author(s):  
Colin J. Carroll ◽  
Gonzalo Sumarriva ◽  
Lacey Lavie ◽  
Christopher Sugalski ◽  
Leslie Sisco-Wise ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Delayed Presentation ◽  
Pectoral Fins ◽  
Hand Amputation

Catfish have the ability to inflict stings on their victims through spines located on their dorsal and pectoral fins. The stings of catfish can release toxins that have dermonecrotic, edemogenic, and vasospastic factors. In this case, a 56-year-old man suffered a catfish sting to his right thumb, which resulted in acute hand compartment syndrome and resultant hand fasciotomies. His hospital course was complicated by multiple irrigation and debridements, finger amputations, hand fluid cultures positive for Vibrio damsela, and eventual wrist disarticulation. The combination of envenomation, infection, and delayed presentation for treatment ultimately led to a hand amputation.

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

2021 ◽  
Vol 26 (03) ◽  
pp. 481-484
Author(s):  
Hidetoshi Iwata ◽  
Hideki Okamoto ◽  
Yohei Kawaguchi ◽  
Kojiro Endo ◽  
Yuji Joyo ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Single Case ◽  
Case Reports ◽  
Upper Extremities ◽  
Review Of The Literature ◽  
Right Hand ◽  
Insidious Onset ◽  
Forearm Compartment Syndrome ◽  
Cash Register ◽  
Proximal Forearm

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.

Forearm Compartment Syndrome Concomitant with Pseudoaneurysm of the Anterior Interosseous Artery after Minor Penetrating Injury

2018 ◽  
Vol 23 (03) ◽  
pp. 395-398
Author(s):  
Shingo Komura ◽  
Akihiro Hirakawa ◽  
Yasuharu Matsushita ◽  
Tomihiro Masuda ◽  
Marie Nohara ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Penetrating Injury ◽  
Successful Outcome ◽  
Pseudoaneurysm Formation ◽  
Anterior Interosseous Artery ◽  
Traumatic Pseudoaneurysm ◽  
Interosseous Artery ◽  
Forearm Compartment Syndrome ◽  
A Minor ◽  
Type Of Injury

A 16-year-old man sustained a minor penetrating injury to his forearm, resulting in pseudoaneurysm formation that caused acute compartment syndrome with muscle contracture. Surgical treatment, including fasciotomy, evacuation of the hematoma and aneurysmectomy, followed by intensive hand therapy provided a successful outcome. Traumatic pseudoaneurysm after penetrating injury is a rare cause of acute forearm compartment syndrome. Although minor penetrating injuries tend to be underestimated, this type of injury can cause subsequent serious pathological conditions.

scholarly journals Recurrent Self-Induced Nontraumatic Orbital Emphysema Causing Orbital Compartment Syndrome with Optic Nerve Dysfunction

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
S. Cutting ◽  
C. Davies-Husband ◽  
C. Poitelea
Keyword(s):  
Visual Acuity ◽  
Optic Nerve ◽  
Compartment Syndrome ◽  
Valsalva Manoeuvre ◽  
First Case ◽  
Orbital Emphysema ◽  
History Of ◽  
Nerve Dysfunction ◽  
The Right ◽  
Needle Decompression

The majority of cases of orbital emphysema are due to trauma. Complications are rare, and therefore, the need for surgical intervention is uncommon. We present the first case of which we are aware in which nontraumatic orbital emphysema led to orbital compartment syndrome and subsequent optic nerve dysfunction. The patient underwent emergency needle decompression. A 51-year-old man presented to the Emergency Department with right-sided unilateral proptosis, reduced visual acuity, and binocular diplopia. This occurred after performing a Valsalva manoeuvre with no history of head trauma. He also mentioned that over the past year he had experienced multiple episodes of transient proptosis occurring after Valsalva manoeuvres. Visual acuity in the right eye was reduced to 6/21. A relative afferent pupillary defect was present and intraocular pressure (IOP) was 12 mmHg. The CT scan showed significant orbital emphysema in the medial aspect of the right orbit. Needle decompression was performed resulting in immediate resolution of his symptoms. This case demonstrates that, in cases of orbital emphysema, a lack of a history of trauma and a normal IOP cannot always be used to rule out serious pathology.

scholarly journals Multinodular and Vacuolating Neuronal Tumor

2018 ◽  
Vol 6 (9) ◽  
pp. 1697-1698 ◽  
Author(s):  
Charmaine Zahra ◽  
Reuben Grech
Keyword(s):  
Case Report ◽  
Brain Imaging ◽  
Temporal Lobe ◽  
Benign Lesion ◽  
Occipital Lobe ◽  
Imaging Findings ◽  
Cns Tumours ◽  
The Right ◽  
Rare Diagnosis ◽  
Neuronal Tumor

BACKGROUND: Multinodular and Vacuolating Neuronal Tumor (MVNT) of the cerebrum is a benign lesion described recently in the WHO CNS tumours in 2016. Although this tumour is uncommon, clinicians should be acquainted with the possible presentation and imaging findings. CASE REPORT: We present a case of a young gentleman whose only symptom was absence seizures. Brain imaging showed lesions, compatible with this rare diagnosis. CONCLUSION: Our description of imaging findings on MRI highlights the characteristic cystic appearances of note in the right occipital lobe, in contrast to the temporal lobe as the predominant location found in previous cases.

scholarly journals Iatrogenic forearm compartment syndrome

2016 ◽  
Vol 18 (1) ◽  
pp. 63-65
Author(s):  
Ahmed Elmorsy ◽  
James Nutt ◽  
Nick Taylor ◽  
Justin Kirk-Bayley ◽  
Sean Hughes
Keyword(s):  
Critical Care ◽  
Compartment Syndrome ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Blood Sampling ◽  
Forearm Compartment Syndrome ◽  
Arterial Damage

Limb compartment syndrome may be sequelae of trauma, but in the context of critical care blood sampling, arterial damage may have profound consequences. We describe a series of three cases and their progress and discuss guidelines for prevention of this potentially devastating occurrence in critically ill patients.

Osteochondral Flap Avulsion Fracture in a Child with Forearm Compartment Syndrome

Orthopedics ◽  
2008 ◽  
Vol 31 (8) ◽  
pp. 1-4 ◽  
Author(s):  
Durga Nagaraju Kowtharapu ◽  
Ahmed M. Thabet ◽  
Larry Holmes ◽  
Richard Kruse
Keyword(s):  
Compartment Syndrome ◽  
Avulsion Fracture ◽  
Forearm Compartment Syndrome
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