Mendes Adriano Fernando, Neto José da Mota, Heringer Erica Maciel, de Simoni Leandro Furtado, Pires Diego Demolinari, Labronici Pedro José
Orthopedics and Traumatology Service, Hospital Universitário da Universidade Federal de Juiz de Fora Juiz de Fora, Minas Gerais, Brasil.
Orthopedics and Traumatology Service, Hospital e Maternidade Terezinha de Jesus, Juiz de Fora, Minas Gerais, Brasil.
Undersea Hyperb Med. 2018 Mar-Apr;45(2):209-215.
CrossFit is a physical fitness program characterized by high-intensity workouts that can be associated with serious injury. Acute compartment syndrome in the upper limbs is a rare occurrence. It may occur after intense physical exercise, and its usual treatment is surgical. Hyperbaric oxygen therapy is a treatment described as adjunctive in cases of compartmental syndrome.
We describe the case of a CrossFit practitioner who, after intense training, developed progressive symptoms of rhabdomyolysis and acute bilateral arm compartment syndrome, who was successfully treated with hyperbaric oxygen therapy and required no fasciotomy as surgical treatment.
Acute compartment syndrome in the arms after intense physical exercise is a rare occurrence that should be suspected by practitioners of physical activity experiencing intense, disproportionate and progressive pain. In the case presented, hyperbaric oxygen therapy was successfully used in the treatment of the disorder, with satisfactory progress, and without the need for a surgical fasciotomy as therapy.
CrossFit是一项以高强度锻炼为特点的健身项目，可能会导致严重损伤。上肢急性骨筋膜室综合征较为罕见。它可能在剧烈体育锻炼后发生，其常规治疗方法是手术治疗。高压氧疗法被描述为骨筋膜室综合征病例的辅助治疗方法。
我们描述了一名CrossFit训练者的病例，该训练者在高强度训练后出现了横纹肌溶解和急性双侧手臂骨筋膜室综合征的进行性症状，经高压氧疗法成功治疗，无需进行手术筋膜切开术。
剧烈体育锻炼后手臂急性骨筋膜室综合征很少见，从事剧烈运动且经历剧烈、不成比例和进行性疼痛的体育活动从业者应怀疑此病。在本病例中，高压氧疗法成功用于治疗该疾病，进展令人满意，且无需进行手术筋膜切开术作为治疗手段。
