Triplet Jacob J, Goss David A, Taylor Benjamin
OhioHealth Doctors Hospital, Columbus, Ohio.
OhioHealth Orthopedic Trauma and Reconstruction Surgeons, Grant Medical Center, Columbus, Ohio.
JBJS Case Connect. 2017 Jul-Sep;7(3):e49. doi: 10.2106/JBJS.CC.16.00196.
McArdle disease, a glycogen storage disorder, often manifests as exercise intolerance secondary to muscle ischemia. Few authors have reported on rhabdomyolysis or compartment syndrome following inciting events among patients with McArdle disease. We present the case of a 40-year-old woman who developed spontaneous compartment syndrome of the right forearm and subsequently underwent emergency fasciotomy.
On the basis of the present case and our review of the current literature, we advocate a high level of suspicion for compartment syndrome in patients with a history of McArdle disease.
麦克尔迪氏病是一种糖原贮积病,常表现为继发于肌肉缺血的运动不耐受。很少有作者报道过麦克尔迪氏病患者在诱发事件后发生横纹肌溶解或骨筋膜室综合征。我们报告一例40岁女性患者,其出现了右前臂自发性骨筋膜室综合征,随后接受了急诊筋膜切开术。
基于本病例及我们对当前文献的回顾,我们主张对有麦克尔迪氏病病史的患者高度怀疑骨筋膜室综合征。