Acute Paravertebral Compartment Syndrome: Comply with-up and Literature Evaluate.
J Am Acad Orthop Surg Glob Res Rev. 2018 Apr;2(four):e063
Authors: Roe JC, Chen F, Cho W
Goal: To report on a affected person with acute paravertebral and posterior thigh compartment syndrome after vigorous train.
Background: Paravertebral compartment syndrome (PCS) is a uncommon medical entity, usually occurring in male athletes after heavy exertion and weightlifting.
Case: A 25-year-old man introduced with again ache and hematuria hours after back-specific weightlifting. Medical examination, laboratory markers, MRI, and elevated intracompartmental stress measurements supported the prognosis of bilateral paravertebral and posterior thigh compartment syndrome. The affected person underwent paravertebral decompression through the Wiltse strategy with rapid postoperative reduction. He’s doing nicely at 1 yr, with restoration of lumbar extension energy, though MRI demonstrates reasonable fatty substitute of paravertebral musculature.
Conclusions: Though uncommon, early recognition of PCS and well timed decompression can restrict myonecrosis. Paravertebral compartment syndrome must be thought of within the differential for athletic people with acute onset again ache.
Examine Design: A case report and evaluation of literature.
PMID: 30211387 [PubMed]