title: Double jeopardy: two episodes of forearm compartment syndrome in the same patient.
abstract: A 55-year-old woman taking warfarin for previous deep venous thrombosis (DVT), presented with an acutely swollen and painful forearm after forcefully contracting her forearm flexor compartment while using a car hand brake and later, an axe. Compartment syndrome was diagnosed and emergency fasciotomy performed, with a haematoma discovered between the flexor compartments of flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP). After evacuation and resolution of symptoms, the wounds were closed 4 days later. Following discharge on the fifth day, symptoms recurred without warning, prompting re-exploration and discovery of further haematoma. Symptoms again resolved and in due course a skin graft was applied to close the wound without tension.
authors.affiliation: Department of Plastic Surgery, The Queen Victoria Hospital, East Grinstead, UK.
authors.forename: Rohit
authors.initials: R
authors.lastname: Seth
authors.affiliation: Department of Plastic Surgery, The Queen Victoria Hospital, East Grinstead, UK.
authors.forename: Roshan
authors.initials: R
authors.lastname: Vijayan
authors.affiliation: Department of Plastic Surgery, The Queen Victoria Hospital, East Grinstead, UK.
authors.forename: Asit
authors.initials: A
authors.lastname: Khandwala
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005205:Fascia; D000071938:Fasciotomy; D005260:Female; D005542:Forearm / Q000098:blood supply / Q000473:pathology*; D005543:Forearm Injuries / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006225:Hand; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D009068:Movement; D009119:Muscle Contraction; D018482:Muscle, Skeletal / Q000098:blood supply
chemical_list: D000925:Anticoagulants