Síndrome compartimental crónico del antebrazo tratado con fasciotomía mínimamente invasiva: reporte de un caso. [Chronic exertional compartment syndrome of the forearm treated with minimally invasive fasciotomy: A case report]
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Publicado:
may 2, 2019
Palabras clave:
Síndrome compartimental, fasciotomía, antebrazo. Compartment syndrome, fasciotomy, forearm.
Contenido principal del artículo
Resumen
El síndrome compartimental crónico inducido por el ejercicio o el uso excesivo raramente afecta a los miembros superiores y se ha relacionado con actividades deportivas o laborales. Describimos un caso de un paciente con diagnóstico de síndrome compartimental crónico de antebrazo, de características poco habituales, tratado con fasciotomía mínimamente invasiva. Este síndrome debe sospecharse incluso en pacientes que no practiquen actividades de riesgo y que sufran dolor compartimental inespecífico. La fasciotomía con técnica mínimamente invasiva es una opción eficaz para curar este cuadro.
ABSTRACT
Chronic exertional compartment syndrome (CECS) of the forearm is uncommon and has been described in association with sport and work-related activities. We describe the uncommon presentation of a patient with CECS of the forearm who was treated through a min-invasive fasciotomy. CECS of the forearm must be suspected in patients with compartmental pain even if they do not practice risk activities. Mini-invasive fasciotomy is an effective option for the treatment of this pathology.
ABSTRACT
Chronic exertional compartment syndrome (CECS) of the forearm is uncommon and has been described in association with sport and work-related activities. We describe the uncommon presentation of a patient with CECS of the forearm who was treated through a min-invasive fasciotomy. CECS of the forearm must be suspected in patients with compartmental pain even if they do not practice risk activities. Mini-invasive fasciotomy is an effective option for the treatment of this pathology.
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Gorodischer, T., Gallucci, G. L., De Carli, P., & Boretto, J. G. (2019). Síndrome compartimental crónico del antebrazo tratado con fasciotomía mínimamente invasiva: reporte de un caso. [Chronic exertional compartment syndrome of the forearm treated with minimally invasive fasciotomy: A case report]. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(2), 143-148. https://doi.org/10.15417/issn.1852-7434.2019.84.2.858
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Citas
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Am J Sports Med 1985;13:162-70. https://doi.org/10.1177/036354658501300304
2. Pedowitz RA, Toutounghi FM. Chronic exertional compartment syndrome of the forearm flexor muscles. J Hand Surg Am 1988;13:694-6. https://doi.org/10.1016/S0363-5023(88)80126-6
3. Jawed S, Jawad ASM, Padhiar N, Perry JD. Chronic exertional compartment syndrome of the forearms secondary to weight training. Rheumatology 2001;40:344-5.
https://doi.org/10.1093/rheumatology/40.3.344
4. Piasecki DP, Meyer D, Bach BR Jr. Exertional compartment syndrome of the forearm in an elite flatwater sprint kayaker. Am J Sports Med 2008;36:2222-5. https://doi.org/10.1177/0363546508324693
5. Berlemann U, al-Momani Z, Hertel R. Exercise-induced compartment syndrome in the flexor-pronator muscle group. A case report and pressure measurements in volunteers. Am J Sports Med 1998;26:439-41. https://doi.org/10.1177/03635465980260031701
6. Wasilewski SA, Asdourian PL. Bilateral chronic exertional compartment syndromes of forearm in an adolescent athlete: Case report and review of literature. Am J Sports Med 1991;19:665-7. https://doi.org/10.1177/036354659101900620
7. Garcia Mata S, Hidalgo Ovejero A, Martinez Grande M. Bilateral, chronic exertional compartment syndrome of the forearm in two brothers. Clin J Sport Med 1999;9:91-9. https://doi.org/10.1097/00042752-199904000-00009
8. Allen MJ, Barnes MR. Chronic compartment syndrome of the flexor muscles in the forearm: A case report. J Hand Surg Br 1989;14:47-8. https://doi.org/10.1016/0266-7681(89)90014-4
9. Goubier JN, Saillant G. Chronic compartment syndrome of the forearm in competitive motor cyclists: A report of two cases. Br J Sports Med 2003;37:452-3. https://doi.org/10.1136/bjsm.37.5.452
10. Zandi H, Bell S. Results of compartment decompression in chronic forearm compartment syndrome: Six case presentations. Br J Sports Med 2005;39:e35. https://doi.org/10.1136/bjsm.2004.012518
11. Jeschke J, Baur EM, Piza-Katzer H. Chronic compartment syndrome of the flexor muscles in the forearm due to motocross. Handchir Mikrochir Plast Chir 2006;38:122-5. https://doi.org/10.1055/s-2006-923785
12. Soderberg TA. Bilateral chronic compartment syndrome in the forearm and the hand. J Bone Joint Surg Br 1996;78:780-2. https://doi.org/10.1302/0301-620X.78B5.0780780
13. Croutzet P, Chassat R, Masmejean EH. Mini-invasive surgery for chronic exertional compartment syndrome of the forearm. A new technique. Tech Hand Up Extrem Surg 2009;13(3):137-40. https://doi.org/10.1097/BTH.0b013e3181aa9193
14. Gondolini G, Schiavi P, Pogliacomi F, Ceccarelli F, Antonetti T, Zasa M. Long-term outcome of mini-open surgical decompression for chronic exertional compartment syndrome of the forearm in professional motorcycling riders. Clin J Sport Med 2017; Oct 10 [versión en línea antes de la impresión]. https://doi.org/10.1097/JSM.0000000000000539
15. Rydholm U, Werner CO, Ohlin P. Intracompartmental forearm pressure during rest and exercise. Clin Orthop 1983;175:213-5. https://doi.org/10.1097/00003086-198305000-00034
16. Schoeffl V, Klee S, Strecker W. Evaluation of physiological standard pressures of the forearm flexor muscles during sport specific ergometry in sport climbers. Br J Sports Med 2000;38:422-5. https://doi.org/10.1136/bjsm.2002.003996
17. Brown JS, Wheeler PC, Boyd KT, Barnes MR, Allen MJ. Chronic exertional compartment syndrome of the forearm: a case series of 12 patients treated with fasciotomy. J Hand Surg Eur 2011;36(5):413-9. https://doi.org/10.1177/1753193410397900
18. Pedowitz RA, Hargens AR, Mubarak SJ, et al. Modified criteria for the objective diagnosis of chronic compartment syndrome of the leg. Am J Sports Med 1990;18:35-40. https://doi.org/10.1177/036354659001800106
19. Miller EA, Cobb AL, Cobb TK. Endoscopic fascia release for forearm chronic exertional compartment syndrome: case report and surgical technique. Hand (NY) 2017;12(5):NP58-NP61. https://doi.org/10.1177/1558944716669799
Am J Sports Med 1985;13:162-70. https://doi.org/10.1177/036354658501300304
2. Pedowitz RA, Toutounghi FM. Chronic exertional compartment syndrome of the forearm flexor muscles. J Hand Surg Am 1988;13:694-6. https://doi.org/10.1016/S0363-5023(88)80126-6
3. Jawed S, Jawad ASM, Padhiar N, Perry JD. Chronic exertional compartment syndrome of the forearms secondary to weight training. Rheumatology 2001;40:344-5.
https://doi.org/10.1093/rheumatology/40.3.344
4. Piasecki DP, Meyer D, Bach BR Jr. Exertional compartment syndrome of the forearm in an elite flatwater sprint kayaker. Am J Sports Med 2008;36:2222-5. https://doi.org/10.1177/0363546508324693
5. Berlemann U, al-Momani Z, Hertel R. Exercise-induced compartment syndrome in the flexor-pronator muscle group. A case report and pressure measurements in volunteers. Am J Sports Med 1998;26:439-41. https://doi.org/10.1177/03635465980260031701
6. Wasilewski SA, Asdourian PL. Bilateral chronic exertional compartment syndromes of forearm in an adolescent athlete: Case report and review of literature. Am J Sports Med 1991;19:665-7. https://doi.org/10.1177/036354659101900620
7. Garcia Mata S, Hidalgo Ovejero A, Martinez Grande M. Bilateral, chronic exertional compartment syndrome of the forearm in two brothers. Clin J Sport Med 1999;9:91-9. https://doi.org/10.1097/00042752-199904000-00009
8. Allen MJ, Barnes MR. Chronic compartment syndrome of the flexor muscles in the forearm: A case report. J Hand Surg Br 1989;14:47-8. https://doi.org/10.1016/0266-7681(89)90014-4
9. Goubier JN, Saillant G. Chronic compartment syndrome of the forearm in competitive motor cyclists: A report of two cases. Br J Sports Med 2003;37:452-3. https://doi.org/10.1136/bjsm.37.5.452
10. Zandi H, Bell S. Results of compartment decompression in chronic forearm compartment syndrome: Six case presentations. Br J Sports Med 2005;39:e35. https://doi.org/10.1136/bjsm.2004.012518
11. Jeschke J, Baur EM, Piza-Katzer H. Chronic compartment syndrome of the flexor muscles in the forearm due to motocross. Handchir Mikrochir Plast Chir 2006;38:122-5. https://doi.org/10.1055/s-2006-923785
12. Soderberg TA. Bilateral chronic compartment syndrome in the forearm and the hand. J Bone Joint Surg Br 1996;78:780-2. https://doi.org/10.1302/0301-620X.78B5.0780780
13. Croutzet P, Chassat R, Masmejean EH. Mini-invasive surgery for chronic exertional compartment syndrome of the forearm. A new technique. Tech Hand Up Extrem Surg 2009;13(3):137-40. https://doi.org/10.1097/BTH.0b013e3181aa9193
14. Gondolini G, Schiavi P, Pogliacomi F, Ceccarelli F, Antonetti T, Zasa M. Long-term outcome of mini-open surgical decompression for chronic exertional compartment syndrome of the forearm in professional motorcycling riders. Clin J Sport Med 2017; Oct 10 [versión en línea antes de la impresión]. https://doi.org/10.1097/JSM.0000000000000539
15. Rydholm U, Werner CO, Ohlin P. Intracompartmental forearm pressure during rest and exercise. Clin Orthop 1983;175:213-5. https://doi.org/10.1097/00003086-198305000-00034
16. Schoeffl V, Klee S, Strecker W. Evaluation of physiological standard pressures of the forearm flexor muscles during sport specific ergometry in sport climbers. Br J Sports Med 2000;38:422-5. https://doi.org/10.1136/bjsm.2002.003996
17. Brown JS, Wheeler PC, Boyd KT, Barnes MR, Allen MJ. Chronic exertional compartment syndrome of the forearm: a case series of 12 patients treated with fasciotomy. J Hand Surg Eur 2011;36(5):413-9. https://doi.org/10.1177/1753193410397900
18. Pedowitz RA, Hargens AR, Mubarak SJ, et al. Modified criteria for the objective diagnosis of chronic compartment syndrome of the leg. Am J Sports Med 1990;18:35-40. https://doi.org/10.1177/036354659001800106
19. Miller EA, Cobb AL, Cobb TK. Endoscopic fascia release for forearm chronic exertional compartment syndrome: case report and surgical technique. Hand (NY) 2017;12(5):NP58-NP61. https://doi.org/10.1177/1558944716669799