Acute Paraspinal Compartment Syndrome After Deadlifting: A Case Report
Abdullah Cetinkaya1, Oliver Grundnes, Filip C Dolatowski
1Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Norway.
JBJS Case Connector
|July 11, 2020
Summary
A weightlifter developed acute paraspinal compartment syndrome after deadlifting, leading to rhabdomyolysis. Prompt fasciotomy surgery resolved the condition, allowing a return to pain-free exercise.
Area of Science:
- Sports Medicine
- Orthopedics
- Emergency Medicine
Background:
- Weightlifting, particularly deadlifts, can place significant stress on the paraspinal muscles.
- Acute compartment syndrome is a surgical emergency characterized by increased pressure within a fascial compartment, compromising circulation and tissue viability.
Observation:
- A 27-year-old man presented with acute right loin pain hours after deadlifting, initially suspected as renal colic.
- Clinical examination revealed worsening back pain with flexion and palpable hardness of the loins.
- High intracompartmental pressures confirmed acute paraspinal compartment syndrome, a rare complication in this context.
Findings:
- Rhabdomyolysis was diagnosed, indicated by muscle breakdown.
- Surgical intervention via fasciotomy of the back muscles was performed 28 hours after pain onset.
- The patient recovered and returned to pain-free exercise 18 months post-surgery, ceasing deadlifts.
Implications:
- This case highlights the potential for acute paraspinal compartment syndrome following intense weightlifting exercise.
- Early recognition and surgical decompression are crucial for managing this condition and preventing long-term sequelae.
- Awareness among sports medicine and orthopedic professionals is important for diagnosing and treating this rare but serious complication.
