Compartimentsyndroom van de onderarm bij een jongere

Wouter P Kluijfhout; Eefje N de Vries; Victor A de Ridder; Ivar G J M de Bruin

Compartimentsyndroom van de onderarm bij een jongere

Translated title of the contribution: Compartment syndrome of the forearm in a child

Wouter P Kluijfhout, Eefje N de Vries, Victor A de Ridder, Ivar G J M de Bruin

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Compartment syndrome is a rare but serious entity with various causes. Timely diagnosis and treatment are essential.

CASE DESCRIPTION: We present a case of a 14-year-old boy with a crush injury of the forearm including a fracture of the radius and ulna. In addition, a traction injury of the brachial plexus was present. Despite the absence of pain, a fasciotomy was performed because of excessive swelling of the forearm with obvious bulging of the muscles intra-operatively.

CONCLUSION: Compartment syndrome can develop at several places in the body, including the forearm. Disproportional pain is the most relevant symptom which can however be absent due to concurrent neurological injury. Surgical exploration is always warranted in case of a clinical suspicion of compartment syndrome to prevent severe complications.

Translated title of the contribution	Compartment syndrome of the forearm in a child
Original language	Dutch
Article number	D5446
Number of pages	7
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	165
Publication status	Published - 18 Mar 2021

Keywords

Adolescent
Brachial Plexus/injuries
Compartment Syndromes/etiology
Crush Injuries/complications
Fasciotomy
Forearm Injuries/complications
Forearm/blood supply
Humans
Male

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Cite this

@article{dcefcb82b2554842aefecb2bcd1ae65b,

title = "Compartimentsyndroom van de onderarm bij een jongere",

abstract = "BACKGROUND: Compartment syndrome is a rare but serious entity with various causes. Timely diagnosis and treatment are essential.CASE DESCRIPTION: We present a case of a 14-year-old boy with a crush injury of the forearm including a fracture of the radius and ulna. In addition, a traction injury of the brachial plexus was present. Despite the absence of pain, a fasciotomy was performed because of excessive swelling of the forearm with obvious bulging of the muscles intra-operatively.CONCLUSION: Compartment syndrome can develop at several places in the body, including the forearm. Disproportional pain is the most relevant symptom which can however be absent due to concurrent neurological injury. Surgical exploration is always warranted in case of a clinical suspicion of compartment syndrome to prevent severe complications.",

keywords = "Adolescent, Brachial Plexus/injuries, Compartment Syndromes/etiology, Crush Injuries/complications, Fasciotomy, Forearm Injuries/complications, Forearm/blood supply, Humans, Male",

author = "Kluijfhout, {Wouter P} and {de Vries}, {Eefje N} and {de Ridder}, {Victor A} and {de Bruin}, {Ivar G J M}",

year = "2021",

month = mar,

day = "18",

language = "Dutch",

volume = "165",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Bohn Stafleu van Loghum",

}

TY - JOUR

T1 - Compartimentsyndroom van de onderarm bij een jongere

AU - Kluijfhout, Wouter P

AU - de Vries, Eefje N

AU - de Ridder, Victor A

AU - de Bruin, Ivar G J M

PY - 2021/3/18

Y1 - 2021/3/18

N2 - BACKGROUND: Compartment syndrome is a rare but serious entity with various causes. Timely diagnosis and treatment are essential.CASE DESCRIPTION: We present a case of a 14-year-old boy with a crush injury of the forearm including a fracture of the radius and ulna. In addition, a traction injury of the brachial plexus was present. Despite the absence of pain, a fasciotomy was performed because of excessive swelling of the forearm with obvious bulging of the muscles intra-operatively.CONCLUSION: Compartment syndrome can develop at several places in the body, including the forearm. Disproportional pain is the most relevant symptom which can however be absent due to concurrent neurological injury. Surgical exploration is always warranted in case of a clinical suspicion of compartment syndrome to prevent severe complications.

AB - BACKGROUND: Compartment syndrome is a rare but serious entity with various causes. Timely diagnosis and treatment are essential.CASE DESCRIPTION: We present a case of a 14-year-old boy with a crush injury of the forearm including a fracture of the radius and ulna. In addition, a traction injury of the brachial plexus was present. Despite the absence of pain, a fasciotomy was performed because of excessive swelling of the forearm with obvious bulging of the muscles intra-operatively.CONCLUSION: Compartment syndrome can develop at several places in the body, including the forearm. Disproportional pain is the most relevant symptom which can however be absent due to concurrent neurological injury. Surgical exploration is always warranted in case of a clinical suspicion of compartment syndrome to prevent severe complications.

KW - Adolescent

KW - Brachial Plexus/injuries

KW - Compartment Syndromes/etiology

KW - Crush Injuries/complications

KW - Fasciotomy

KW - Forearm Injuries/complications

KW - Forearm/blood supply

KW - Humans

KW - Male

M3 - Article

C2 - 33793125

SN - 0028-2162

VL - 165

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

M1 - D5446

ER -

Compartimentsyndroom van de onderarm bij een jongere

Abstract

Keywords

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