Le syndrome de loge antérieure de lˈavant-bras provoqué par lˈexercice : une cause rare dˈépisodes récidivant de rhabdomyolyse aiguë dˈeffort

Abstract

Introduction. – An effort-related compartmental syndrome is well known in the leg, but may be present infrequently, acutely or chronically in the anterior compartment of the forearm. Exegesis. – We report a case of a 32-year-old man who presented four times after climbing exercices a bilateral compartment of the forearm, unusual because of the observation of rhabdomyolysis, but without irreversible damage. Clinical information and follow-up on two acute and 14 chronic cases were reexamined, showing a homogenous presentation. He refused fasciotomy because he stopped athletic activities. Measurement of intramuscular pressure after exertion was useful for diagnosis. Conclusion. – A local effort-related pain must call to mind a chronic compartment syndrome of the forearm, which may risk incurring the acute form, with irreversible lesions of muscle and nerve, and possibly renal failure because of rhabdomyolsis.