Exercise-induced bilateral upper-arm anterior and posterior compartment syndrome with rhabdomyolysis

Abstract

Listen

Translate article

Acute compartment syndrome is defined as increased pressure in a compartment that leads to a decrease in perfusion pressure. 10 Traub B.C. Lane M.K. Traub J.A. Exercise-induced acute bilateral upper-arm compartment syndrome. Case Rep Emerg Med. 2017; 2017: 9454782https://doi.org/10.1155/2017/9454782 Crossref PubMed Google Scholar Rhabdomyolysis is defined as a syndrome of skeletal muscle damage with release of toxic intracellular material into the body systemically and is often caused by trauma. 6 Misirli G. Hatzitolios A.I. Giannoglou G.D. The syndrome of rhabdomyolysis: complications and treatment. Eur J Intern Med. 2008; 19: 568-574https://doi.org/10.1016/j.ejim.2007.06.037 Abstract Full Text Full Text PDF PubMed Scopus (154) Google Scholar Exercise-induced compartment syndrome with rhabdomyolysis is rare, especially in the upper arm. 1 Aynardi M.C. Jones C.M. Bilateral upper arm compartment syndrome after a vigorous cross-training workout. J Shoulder Elbow Surg. 2016; 25: e65-e67https://doi.org/10.1016/j.jse.2015.11.061 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar ,10 Traub B.C. Lane M.K. Traub J.A. Exercise-induced acute bilateral upper-arm compartment syndrome. Case Rep Emerg Med. 2017; 2017: 9454782https://doi.org/10.1155/2017/9454782 Crossref PubMed Google Scholar The majority of cases of compartment syndrome present in the lower extremities and are usually due to trauma. Exercise-induced lower-extremity compartment syndrome has been reported in activities such as indoor cycling. 3 DeFilippis E.M. Kleiman D.A. Derman P.B. DiFelice G.S. Eachempati S.R. Spinning-induced rhabdomyolysis and the risk of compartment syndrome and acute kidney injury: two cases and a review of the literature. Sports Health. 2014; 6: 333-335https://doi.org/10.1177/1941738114522957 Crossref PubMed Scopus (18) Google Scholar Upper-extremity compartment syndrome from exercise has been reported and has usually been seen within 1 compartment. 4 Ejnisman C. Santoro Belangero P. Vicente Andreoli C. de Castro Pochini A. Cohen M. Ejnisman B. Compartment syndrome after distal biceps brachii tendon rupture in an athlete. Einstein (Sao Paulo). 2020; 18: eRC4778https://doi.org/10.31744/einstein_journal/2020rc4778 Crossref PubMed Google Scholar ,7 Oh J. Laidler M. Fiala S.C. Hedberg K. Acute exertional rhabdomyolysis and triceps compartment syndrome during a high school football camp. Sports Health. 2012; 4: 57-62https://doi.org/10.1177/1941738111413874 Crossref PubMed Scopus (33) Google Scholar , 8 Ozyurek S. Kose O. Distal biceps brachii tendon rupture resulting in acute compartment syndrome. Orthopedics. 2014; 37: 147https://doi.org/10.3928/01477447-20140225-02 Crossref PubMed Scopus (2) Google Scholar , 9 Segan D.J. Sladek E.C. Gomez J. McCoy H.J. Cairns D.A. Weight lifting as a cause of bilateral upper extremity compartment syndrome. Phys Sportsmed. 1988; 16: 73-75 Crossref PubMed Scopus (3) Google Scholar Bilateral upper-arm compartment syndrome with rhabdomyolysis is very rare, and only a small number of cases have been reported in the literature. 1 Aynardi M.C. Jones C.M. Bilateral upper arm compartment syndrome after a vigorous cross-training workout. J Shoulder Elbow Surg. 2016; 25: e65-e67https://doi.org/10.1016/j.jse.2015.11.061 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar ,10 Traub B.C. Lane M.K. Traub J.A. Exercise-induced acute bilateral upper-arm compartment syndrome. Case Rep Emerg Med. 2017; 2017: 9454782https://doi.org/10.1155/2017/9454782 Crossref PubMed Google Scholar The diagnosis and treatment of both compartment syndrome and acute rhabdomyolysis are very important, and prompt care is essential for limb and patient survival. We present the first known case report of exercise-induced bilateral upper-arm anterior and posterior compartment syndrome with rhabdomyolysis in a well-conditioned individual who regularly takes part in CrossFit competitions (CrossFit, Washington, DC, USA).