J Korean Orthop Assoc.  2015 Aug;50(4):328-332. 10.4055/jkoa.2015.50.4.328.

Acute Dorsal Compartment Syndrome of the Forearm in a Patient with Rhabdomyolysis

Affiliations
  • 1Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea. hurym1973@hanmail.net

Abstract

There are three compartments of the forearm by fascia: volar, dorsal and lateral. Compartment syndrome of the forearm, which commonly develops in the volar deep compartment, can be induced by various causes. We experienced a case of acute dorsal compartment syndrome of the forearm in a patient with rhabdomyolysis. Because of severe pain and progressive palsy of the posterior interosseous nerve, fasciotomy and release of posterior interosseous nerve were performed. Acute compartment syndrome localized at the dorsal compartment of the forearm is very rare, and compartment syndrome of the forearm in a patient with rhabdomyolysis has not been reported previously. We report the case with review of literatures.

Keyword

forearm; compartment syndromes; rhabdomyolysis

MeSH Terms

Compartment Syndromes*
Fascia
Forearm*
Humans
Paralysis
Rhabdomyolysis*

Figure

  • Figure 1 (A) Coronal T2-weighted image showing high signal intensity in brachioradialis, extensor carpi radialis longus and brevis. (B) Sagittal T2-weighted image showing edematous swelling at the posterior aspect of supinator, anconeus, extensor carpi ulnaris, extensor digitorum, extensor carpi radialis longus and brevis muscles.

  • Figure 2 Intraoperative photographs. (A) Fasciotomy of the dorsal and lateral compartment of the forearm was performed using Thompson's posterior approach. (B) Posterior interosseous nerve within supinator muscle was released.


Reference

1. Fröber R, Linss W. Anatomic bases of the forearm compartment syndrome. Surg Radiol Anat. 1994; 16:341–347.
Article
2. Friedrich JB, Shin AY. Management of forearm compartment syndrome. Hand Clin. 2007; 23:245–254.
Article
3. Kalyani BS, Fisher BE, Roberts CS, Giannoudis PV. Compartment syndrome of the forearm: a systematic review. J Hand Surg Am. 2011; 36:535–543.
Article
4. Baek GH, Kim JS, Chung MS. Isolated ischemic contracture of the mobile wad: a report of two cases. J Hand Surg Br. 2004; 29:508–509.
Article
5. West H. Rhabdomyolysis associated with compartment syndrome resulting in acute renal failure. Eur J Emerg Med. 2007; 14:368–370.
Article
6. Parvizi J, Shaughnessy WJ. Compartment syndrome in a patient with familial rhabdomyolysis: a case report. J Bone Joint Surg Am. 2002; 84:2046–2049.
7. Rafiq I, Anderson DJ. Acute rhabdomyolysis following acute compartment syndrome of upper arm. J Coll Physicians Surg Pak. 2006; 16:734–735.
8. de Blacam C, Kosutic D, Potter S. Compartment syndrome of the hand and rhabdomyolysis. Surgery. 2012; 152:941.
Article
9. Duckworth AD, Mitchell SE, Molyneux SG, White TO, Court-Brown CM, McQueen MM. Acute compartment syndrome of the forearm. J Bone Joint Surg Am. 2012; 94:e63.
Article
10. Chatzizisis YS, Misirli G, Hatzitolios AI, Giannoglou GD. The syndrome of rhabdomyolysis: complications and treatment. Eur J Intern Med. 2008; 19:568–574.
Article
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