title: CASE REPORT Spontaneous Forearm Compartment Syndrome in a Boy With Hemophilia A: A Therapeutic Dilemma.
abstract: OBJECTIVE
  We present the case of a 14-year-old Factor VIII-deficient patient with no history of trauma, who developed acute spontaneous compartment syndrome of the volar forearm. We also suggest a treatment strategy.
  
  
  METHODS
  Fasciotomy with hematoma evacuation and ipsilateral carpal tunnel release was performed, and the wound was closed with vascular loops in "Jacob's ladder" fashion. Factor infusions were continued overnight.
  
  
  RESULTS
  The volar forearm compartment was successfully decompressed, and the patient's coagulopathy was managed with appropriate clotting factors.
  
  
  CONCLUSIONS
  Hemophilic patients warrant special consideration and multispecialty care; with replenished coagulation factors and timely surgical decompression, they can expect satisfactory recovery of muscular and neurological function.
authors.affiliation: The Johns Hopkins Hospital, Department of Plastic and Reconstructive Surgery, Baltimore, MD.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kim
authors.forename: Jonathan
authors.initials: J
authors.lastname: Zelken
authors.forename: Justin Michael
authors.initials: JM
authors.lastname: Sacks