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Thrower's Fracture With Subsequent Compartment Syndrome Requiring Emergent 2 Compartment Upper Extremity Fasciotomy.

Andrew Wise¹, Darwin Ang¹

¹HCA Florida Ocala Hospital, Ocala, FL.

HCA Healthcare Journal of Medicine

|September 18, 2024

Summary

A thrower's fracture, a humerus injury from throwing, can lead to compartment syndrome. This rare but serious complication requires immediate medical attention to prevent limb damage.

Keywords:

arm injuries baseball case reports compartment syndromes humerus fracture thrower’s fracture

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Area of Science:

Orthopedic Surgery
Sports Medicine
Trauma Care

Background:

Thrower's fracture involves a mid-to-distal humerus fracture.
It typically occurs during the throwing motion, presenting with an audible pop and severe arm pain.

Observation:

A 25-year-old pitcher experienced a thrower's fracture.
He developed elevated compartment pressures in his upper arm, necessitating emergency fasciotomy.

Findings:

This case report is the first to document compartment syndrome as a sequel to thrower's fracture.
Radial nerve palsy is a known complication, but compartment syndrome has not been previously described.

Implications:

Compartment syndrome is a limb-threatening condition.
Close monitoring for compartment syndrome is crucial in patients with thrower's fractures.