Atraumatic acute compartment syndrome – case report

Česká verze

Authors: B. Makara; M. Dudek; J. Viktorin; M. Man
Authors place of work: Oddělení chirurgie, Nemocnice Jablonec nad Nisou p. o.
Published in the journal: Rozhl. Chir., 2022, roč. 101, č. 6, s. 292-297.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2022.101.6.291–296

Summary

Introduction: The publishing of our case report on an idiopathic compartment syndrome of both upper limbs after icing a contusion trauma was motivated by another article on the acute spontaneous compartment syndrome of upper limb published in Rozhledy v chirurgii 8/2021.

Case report: We present the case of a 43-year-old man admitted in the evening for painful massive swelling of both upper extremities. The swelling developed immediately after icing his bruises suffered due to a probable fall on the previous day in a state of inebriety. Compartment syndrome of the left hand and right forearm was diagnosed; subsequently, adequate dermatofasciectomy resulted in normalization of the condition in both upper limbs. The patient’s condition was cured to a full extent without any disorders of perfusion, mobility or sensation in both upper extremities.

Conclusion: Only few reports on the atraumatic compartment syndrome of upper extremity can be found in the literature and it is an acute condition encountered quite rarely at outpatient offices of surgery. Nevertheless, we need to be able to recognize this nosological unit and provide proper treatment in time, otherwise the patient may suffer serious permanent damage.

Keywords:

atraumatic acute compartment syndrome – intrafascial pressure measurement – urgent dermatofasciectomy – bradykinin system

Zdroje

1. Edelmann K, Meluzinová P, Kunc V. Spontánní kompartment syndrom předloktí – kazuistika. Rozhledy v chirurgii 2021;100:403–408. ISSN 0035- 9351.

2. McQueen M, Gaston P, Court-Brown CM. Acute compartment syndrome. The Journal of Bone and Joint Surgery 2000; 82:200–203; doi:10.1302/03001- 620X.82B2.0820200.

3. Krass V. Využití podtlakové terapie k uzávěru ran po fasciotomii po kompartment syndromu. Vliv na délku hospitalizace pacienta. Disertační práce v oboru chirurgie Brno 2016.

4. AO foundation, compartment syndrome; AO surgery reference [online] 2022. Available at: https://surgeryreference. aofoundation.org/orthopedic-trauma/ adult-trauma/further-reading/compartment- syndrome.

5. Ohkoshi Y, Ohkoshi M, Nagasaki S, et al. The effect of cryotherapy on intraarticular temperature and postoperative care after anterior cruciate ligament reconstruction. Am J Sports Med. 1999;27(3)357–362. doi:10.1177/036354 65990270031601.

6. Khajavi K, Pavelko T, Mishra AK. Compartment syndrome arising from use of an electronic cooling pad. Am J Sports Med. 2004 Sep;32(6):1538–1541. doi:10.1177/0363546503262191.

7. Golias Ch, Charalabopoulos A, Stagikas D, et al. The kinin system – bradikinin: biological effects and clinical implications. Multiple role of the system – bradikinin. Hippokratia 2007 Jul–Sep;11(3):124–128; PMC2658795; PMID:19582206.

8. Choi JH, Lee HB, Ahn IS, et al. Wheat-dependent, exercise-induced anaphylaxis: Case report. A successful case of prevention with ketotifen. Ann Dermatol. 2009 May;21(2):203–205. doi: 10.5021/ ad.2009.21.2.203.