Unusual Development of Acute Exertional Compartment Syndrome Due to Delayed Diagnosis: A Case Report
Our report describes the case of a 20 year old man who developed an acute exertional anterior tibial compartment syndrome after playing soccer for five minutes. No trauma was reported. Correct diagnosis was delayed for 18 hours, because pain was misinterpreted as resulting from acute muscular tetani...
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| Veröffentlicht in: | International journal of sports medicine 1996-08, Vol.17 (6), p.458-461 |
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| container_title | International journal of sports medicine |
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| creator | Willy, C. Becker, H.-P. Evers, B. Gerngroß, H. |
| description | Our report describes the case of a 20 year old man who developed an acute exertional anterior tibial compartment syndrome after playing soccer for five minutes. No trauma was reported. Correct diagnosis was delayed for 18 hours, because pain was misinterpreted as resulting from acute muscular tetanic spasm induced by hyperventilation. Fasciotomy was contributed. After one year, the patient complained of early fatigue. Electromyographically the reinnervation had not yet been completed. This case illustrates the necessity for careful observation of non-trauma related acute tibial anterior pain appearing even at the beginning of strenuous exercise. It is important to recognize the possibility of a very acute onset of exertional compartment syndrome that does not subside with rest. Only early diagnosis and fasciotomy can prevent severe complications of an acute exertional compartment syndrome. |
| doi_str_mv | 10.1055/s-2007-972878 |
| format | Article |
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No trauma was reported. Correct diagnosis was delayed for 18 hours, because pain was misinterpreted as resulting from acute muscular tetanic spasm induced by hyperventilation. Fasciotomy was contributed. After one year, the patient complained of early fatigue. Electromyographically the reinnervation had not yet been completed. This case illustrates the necessity for careful observation of non-trauma related acute tibial anterior pain appearing even at the beginning of strenuous exercise. It is important to recognize the possibility of a very acute onset of exertional compartment syndrome that does not subside with rest. Only early diagnosis and fasciotomy can prevent severe complications of an acute exertional compartment syndrome.</description><identifier>ISSN: 0172-4622</identifier><identifier>EISSN: 1439-3964</identifier><identifier>DOI: 10.1055/s-2007-972878</identifier><identifier>PMID: 8884422</identifier><language>eng</language><publisher>Germany</publisher><subject>Acute Disease ; Adult ; Compartment Syndromes - diagnosis ; Compartment Syndromes - etiology ; Compartment Syndromes - physiopathology ; Compartment Syndromes - surgery ; Electromyography ; Fasciotomy ; Humans ; Male ; Orthopedics and Clinical Science ; Soccer</subject><ispartof>International journal of sports medicine, 1996-08, Vol.17 (6), p.458-461</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-fd1b874d01b648cb7ab5e30c0ac009f433fa5b034f5e535c0360619296c383be3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-972878.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,776,780,3004,3005,27901,27902,54534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8884422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Willy, C.</creatorcontrib><creatorcontrib>Becker, H.-P.</creatorcontrib><creatorcontrib>Evers, B.</creatorcontrib><creatorcontrib>Gerngroß, H.</creatorcontrib><title>Unusual Development of Acute Exertional Compartment Syndrome Due to Delayed Diagnosis: A Case Report</title><title>International journal of sports medicine</title><addtitle>Int J Sports Med</addtitle><description>Our report describes the case of a 20 year old man who developed an acute exertional anterior tibial compartment syndrome after playing soccer for five minutes. 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| ispartof | International journal of sports medicine, 1996-08, Vol.17 (6), p.458-461 |
| issn | 0172-4622 1439-3964 |
| language | eng |
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| subjects | Acute Disease Adult Compartment Syndromes - diagnosis Compartment Syndromes - etiology Compartment Syndromes - physiopathology Compartment Syndromes - surgery Electromyography Fasciotomy Humans Male Orthopedics and Clinical Science Soccer |
| title | Unusual Development of Acute Exertional Compartment Syndrome Due to Delayed Diagnosis: A Case Report |
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