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Endoscopic-assisted Fascial Decompression for Forearm Exertional Compartment Syndrome: A Case Report and Review of the Literature

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HAND

Abstract

A case of chronic exertional compartment syndrome of the forearm treated with endoscopic-assisted fascial decompression is presented. The diagnosis of exertional compartment syndrome of the forearm was confirmed by direct measurement of intracompartmental pressures. Following endoscopic-assisted fascial decompression, the patient was able to begin rehabilitation therapy within 2 weeks. There were no wound-related complications. The patient reported no recurrence of symptoms after returning to work requiring heavy lifting, and morbidity associated with open decompression was avoided. Endoscopic release is not an option in traumatic compartment syndrome, but a minimally invasive approach may be considered in cases of exertional compartment syndrome. Reports of endoscopic-assisted fascial decompression in exertional compartment syndrome of the forearm are relatively scarce. Confirmation of the safety and efficacy of these evolving techniques in the hand surgery literature remains important.

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Authors and Affiliations

  1. Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI, 53226, USA

    John Hijjawi

  2. Department of Orthopedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Daniel J. Nagle

Authors
  1. John Hijjawi
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  2. Daniel J. Nagle
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Correspondence to John Hijjawi.

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Hijjawi, J., Nagle, D.J. Endoscopic-assisted Fascial Decompression for Forearm Exertional Compartment Syndrome: A Case Report and Review of the Literature. HAND 5, 427–429 (2010). https://doi.org/10.1007/s11552-010-9261-0

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  • DOI: https://doi.org/10.1007/s11552-010-9261-0

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