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Undersea Hyperb Med. 2018 Mar-Apr;45(2):209-215.

Hyperbaric oxygen therapy as treatment for bilateral arm compartment syndrome after CrossFit: case report and literature review.

Author information

1
Orthopedics and Traumatology Service, Hospital Universitário da Universidade Federal de Juiz de Fora Juiz de Fora, Minas Gerais, Brasil.
2
Orthopedics and Traumatology Service, Hospital e Maternidade Terezinha de Jesus, Juiz de Fora, Minas Gerais, Brasil.
3
School of Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brasil.
4
Cedimagem Radiology Clinic, Hospital Monte Sinai, Juiz de Fora, Minas Gerais, Brasil.
5
School of Medicine, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil.

Abstract

Introduction:

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.

Presentation:

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.

Conclusions:

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.

KEYWORDS:

CrossFit ; acute compartment syndrome ; fasciotomy ; hyperbaric oxygen therapy

PMID:
29734573
[Indexed for MEDLINE]

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