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Bilateral chronic compartment syndrome in the forearm and the hand
1Department of Plastic Surgery, Rogaland Central County Hospital, Stavanger, Norway.
The Journal of Bone and Joint Surgery. British Volume
|September 1, 1996
Summary
Bilateral chronic exertional compartment syndrome (CCS) in the forearm and hand can be diagnosed using intramuscular pressure measurements. Surgical fasciotomy effectively relieved pain in two reported cases of this condition.
Area of Science:
- Orthopedics
- Sports Medicine
- Surgical Anatomy
Background:
- Chronic exertional compartment syndrome (CCS) is a condition characterized by exercise-induced pain due to increased intramuscular pressure.
- Bilateral involvement of the forearm and hand is uncommon, making diagnosis challenging.
Observation:
- Two patients presented with bilateral exercise-induced pain in the anconeus muscle, forearms, thenar/hypothenar regions, and first dorsal interosseous muscle.
- Intramuscular pressure measurements were instrumental in diagnosing bilateral CCS in both cases.
Findings:
- The diagnostic utility of intramuscular pressure measurement for bilateral forearm and hand CCS was confirmed.
- Surgical intervention, specifically fasciotomy, provided significant pain relief for affected individuals.
Implications:
- Clinicians should consider bilateral CCS in patients with bilateral exercise-induced pain affecting the forearm and hand.
- Prompt diagnosis and surgical treatment can lead to successful pain management and functional recovery.