Nakamura Gen, Abe Muneaki, Kumano Hozumi
1 Department of Orthopedic Surgery, Shiroyama Hospital, Osaka, Japan.
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):93-95. doi: 10.1142/S2424835519720020.
Acute compartment syndrome of the forearm secondary to hematoma without direct trauma has been reported rarely. We report a case of acute compartment syndrome of the forearm following a hematoma after playing golf. A 55-year-old man felt pain in his left forearm while playing golf that gradually worsened. He could not continue to play and visited the emergency department of our hospital. The radial side of his left forearm was markedly swollen on presentation, and he suffered severe pain that worsened with ulnar flexion of the wrist; no paralysis or hypesthesia was observed. A hematoma in the brachioradialis was seen on magnetic resonance imaging, and radial compartment pressure was 120 mmHg. A diagnosis of acute compartment syndrome was made, and urgent fasciotomy was performed. The patient recovered with no dysfunction of the arm.
无直接创伤继发于血肿的前臂急性骨筋膜室综合征鲜有报道。我们报告一例高尔夫球运动后血肿引发前臂急性骨筋膜室综合征的病例。一名55岁男性在打高尔夫球时感到左前臂疼痛，且疼痛逐渐加重。他无法继续打球，遂前往我院急诊科就诊。就诊时，其左前臂桡侧明显肿胀，手腕尺侧屈曲时疼痛加剧；未观察到麻痹或感觉减退。磁共振成像显示肱桡肌有血肿，桡侧骨筋膜室内压力为120 mmHg。诊断为急性骨筋膜室综合征，并紧急进行了筋膜切开术。患者康复，手臂无功能障碍。
