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

Sang Bum Kim; Youn Moo Heo; Jin Woong Yi; Seung Kwon Ryu; Hyun Jin Yoo

doi:10.4055/jkoa.2015.50.4.328

Journal List > J Korean Orthop Assoc > v.50(4) > 1013388

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Kim, Heo, Yi, Ryu, and Yoo: Acute Dorsal Compartment Syndrome of the Forearm in a Patient with Rhabdomyolysis

Case Report

Journal of the Korean Orthopaedic Association 2015; 50(4): 328-332.

Published online: 24 August 2015

DOI: https://doi.org/10.4055/jkoa.2015.50.4.328

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

Sang Bum Kim, M.D., Youn Moo Heo, M.D., Jin Woong Yi, M.D., Seung Kwon Ryu, M.D., Hyun Jin Yoo, M.D.

Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Correspondence to: Youn Moo Heo, M.D. Department of Orthopedic Surgery, Konyang University Hospital, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. TEL: +82-42-600-9120, FAX: +82-42-545-2373, hurym1973@hanmail.net

Received 1 July 2014 Revised 28 January 2015 Accepted 28 February 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: forearm, compartment syndromes, rhabdomyolysis

Figures and Tables

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.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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