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Published on: May 26, 2023
Chronic exertional compartment syndrome of the thenar musculature
Marshall Gillette1, Scott Herron1, Jacob Stirton1
1The University of Toledo College of Medicine and Life Sciences, Department of Orthopaedic Surgery, 3000 Arlington Avenue, Toledo, OH, 43614, USA.
Abstract:
We present the case of a 44-year-old male with complaints of activity-induced, debilitating bilateral hand pain that had been undiagnosed for approximately six years. After extensive evaluation, intra-compartmental pressure monitoring confirmed the diagnosis of chronic exertional compartment syndrome of both the adductor pollicis and the thenar compartments (abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis). A two-incision decompressive fasciotomy was performed and post-operative intra-compartmental pressure measurements pre- and post-exercise were obtained confirming successful treatment of the condition.
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