TY - JOUR
T1 - Acute Paravertebral Compartment Syndrome
T2 - Follow-up and Literature Review
AU - Roe, John C.
AU - Chen, Foster
AU - Cho, Woojin
N1 - Publisher Copyright:
Copyright © 2018 The Authors
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Objective: To report on a patient with acute paravertebral and posterior thigh compartment syndrome after vigorous exercise. Background: Paravertebral compartment syndrome (PCS) is a rare clinical entity, typically occurring in male athletes after heavy exertion and weightlifting. Case: A 25-year-old man presented with back pain and hematuria hours after back-specific weightlifting. Clinical examination, laboratory markers, MRI, and elevated intracompartmental pressure measurements supported the diagnosis of bilateral paravertebral and posterior thigh compartment syndrome. The patient underwent paravertebral decompression via the Wiltse approach with immediate postoperative relief. He is doing well at 1 year, with recovery of lumbar extension strength, although MRI demonstrates moderate fatty replacement of paravertebral musculature. Conclusions: Although rare, early recognition of PCS and timely decompression can limit myonecrosis. Paravertebral compartment syndrome should be considered in the differential for athletic individuals with acute onset back pain. Study Design: A case report and review of literature.
AB - Objective: To report on a patient with acute paravertebral and posterior thigh compartment syndrome after vigorous exercise. Background: Paravertebral compartment syndrome (PCS) is a rare clinical entity, typically occurring in male athletes after heavy exertion and weightlifting. Case: A 25-year-old man presented with back pain and hematuria hours after back-specific weightlifting. Clinical examination, laboratory markers, MRI, and elevated intracompartmental pressure measurements supported the diagnosis of bilateral paravertebral and posterior thigh compartment syndrome. The patient underwent paravertebral decompression via the Wiltse approach with immediate postoperative relief. He is doing well at 1 year, with recovery of lumbar extension strength, although MRI demonstrates moderate fatty replacement of paravertebral musculature. Conclusions: Although rare, early recognition of PCS and timely decompression can limit myonecrosis. Paravertebral compartment syndrome should be considered in the differential for athletic individuals with acute onset back pain. Study Design: A case report and review of literature.
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U2 - 10.5435/JAAOSGlobal-D-17-00063
DO - 10.5435/JAAOSGlobal-D-17-00063
M3 - Review article
AN - SCOPUS:85130488612
SN - 2474-7661
VL - 2
JO - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
JF - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
IS - 4
M1 - e063
ER -