Spontaneous Extensor Carpi Ulnaris Compartment Syndrome.
We report a case of isolated compartment syndrome within the extensor carpi ulnaris (ECU) compartment in the forearm of a 40-year-old diabetic man. Magnetic resonance imaging of his forearm showed isolated changes in the ECU muscle belly; compartment syndrome was confirmed on manometry. In view of the short history of symptoms and his diabetic status, the patient was managed conservatively. Twenty-four hours after onset of the symptoms, the pain and swelling resolved and he was able to be discharged. To date, 3 cases of ECU compartment syndrome secondary to trauma have been reported. This report illustrates a case of confirmed compartment syndrome without antecedent trauma, highly unusual in terms of both its etiology and its anatomical location.
Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Surrey, UK. Electronic address: Sarah.stewart@fhft.nhs.uk.
Sarah K
SK
Stewart
Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Surrey, UK.
James A G
JA
Singleton
D000328:Adult; D003161:Compartment Syndromes / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D000072700:Conservative Treatment; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D005542:Forearm; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement; D013708:Tendon Injuries / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*
Compartment pressure; compartment syndrome; extensor carpi ulnaris; forearm; spontaneous compartment syndrome