A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete

INTRODUCTION: Acute following a chronic exertional compartment syndrome (CECS) is a known but uncommonly encountered complication of sports activity and its physiologic profile remains unclear to date. Failure to recognize and promptly treat this condition can lead to disastrous sequelae. CASE REPOR...

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Autores principales: Jimenez, Andrew, Branam, Barton R, Hasselfeld, Kimberly A, Hasselfeld, Kathryn A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276583/
https://www.ncbi.nlm.nih.gov/pubmed/32547967
http://dx.doi.org/10.13107/jocr.2020.v10.i01.1610
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author Jimenez, Andrew
Branam, Barton R
Hasselfeld, Kimberly A
Hasselfeld, Kathryn A
author_facet Jimenez, Andrew
Branam, Barton R
Hasselfeld, Kimberly A
Hasselfeld, Kathryn A
author_sort Jimenez, Andrew
collection PubMed
description INTRODUCTION: Acute following a chronic exertional compartment syndrome (CECS) is a known but uncommonly encountered complication of sports activity and its physiologic profile remains unclear to date. Failure to recognize and promptly treat this condition can lead to disastrous sequelae. CASE REPORT: We present the case of a 13-year-old lacrosse player with a history of CECS who developed unprovoked acute compartment syndrome. Despite emergent fasciotomy, she experienced intermittent episodes of peroneal nerve deficits. A peroneal nerve neurolysis was later performed which resulted in full resolution of her symptoms. CONCLUSION: This case stresses the importance of a high index of suspicion for compartment syndrome which if not treated in a timely fashion can have devastating consequences.
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spelling pubmed-72765832020-06-15 A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete Jimenez, Andrew Branam, Barton R Hasselfeld, Kimberly A Hasselfeld, Kathryn A J Orthop Case Rep Case Report INTRODUCTION: Acute following a chronic exertional compartment syndrome (CECS) is a known but uncommonly encountered complication of sports activity and its physiologic profile remains unclear to date. Failure to recognize and promptly treat this condition can lead to disastrous sequelae. CASE REPORT: We present the case of a 13-year-old lacrosse player with a history of CECS who developed unprovoked acute compartment syndrome. Despite emergent fasciotomy, she experienced intermittent episodes of peroneal nerve deficits. A peroneal nerve neurolysis was later performed which resulted in full resolution of her symptoms. CONCLUSION: This case stresses the importance of a high index of suspicion for compartment syndrome which if not treated in a timely fashion can have devastating consequences. Indian Orthopaedic Research Group 2020 /pmc/articles/PMC7276583/ /pubmed/32547967 http://dx.doi.org/10.13107/jocr.2020.v10.i01.1610 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commonsunder the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jimenez, Andrew
Branam, Barton R
Hasselfeld, Kimberly A
Hasselfeld, Kathryn A
A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title_full A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title_fullStr A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title_full_unstemmed A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title_short A Case Report of Acute Exertional Compartment Syndrome with Peroneal Nerve Palsy in an Adolescent Athlete
title_sort case report of acute exertional compartment syndrome with peroneal nerve palsy in an adolescent athlete
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276583/
https://www.ncbi.nlm.nih.gov/pubmed/32547967
http://dx.doi.org/10.13107/jocr.2020.v10.i01.1610
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