Abstract
Exertional compartment syndrome has been described and implicated in pain syndromes involving several fascial compartments. This entity is classically characterized in the legs, feet and forearms of athletes. We describe a case of acute, severe exertional compartment syndrome of the paraspinal muscles in a young and healthy male ultimately resulting in significant rhabdomyolysis and acute kidney injury. The rarity of the syndrome has prevented the establishment of specific guidelines for management; therefore, we will discuss this case in the context of similar previously reported cases, contrasting the various treatment approaches and outcomes described in previous reports. This discussion outlines a syndrome not commonly considered in the differential diagnosis of back pain.
References
Carr D, Gilbertson L, Frymoyer J, Krag M, Pope M (1985) Lumbar paraspinal compartment syndrome a case report with physiologic and anatomic studies. Spine 10(9):816–820
DiFazio FA, Barth RA, Frymoyer JW (1991) Acute lumbar paraspinal compartment syndrome a case report. J Bone Joint Surg Am 73(7):1101–1103
Kitajima I, Tachibana S, Hirota Y, Nakamichi K (2002) Acute paraspinal muscle compartment syndrome treated with surgical decompression: a case report. Am J Sports Med 30(2):283–285
Khan RJ, Fick DP, Guier CA, Menolascino MJ, Heal MC (2005) Acute paraspinal compartment syndrome. A case report. J Bone Joint Surg Am 87(5):1126–1128
Minnema BJ, Neligan PC, Quaraishi NA, Fehlings MG, Prakash S (2008) A case of occult compartment syndrome and nonresolving rhabdomyolysis. J Gen Intern Med 23(6):871–874
Kjellmer I (1964) An indirect method for estimating tissue pressure with special reference to tissue pressure in muscle during exercise. Acta Physiol Scand 62:31–40
Detmer DE, Sharpe K, Sufit RL, Girdley FM (1985) Chronic compartment syndrome: diagnosis, management, and outcomes. Am J Sports Med 13(3):162–170
Turnipseed W, Detmer DE, Girdley F (1989) Chronic compartment syndrome. An unusual cause for claudication. Ann Surg 210(4):557–563
Hodak E, Gadoth N, David M, Sandbank M (1986) Muscle damage induced by isotretinoin. Br Med J 293(6544):425–426
Trauner MA, Ruben BS (1999) Isotretinoin induced rhabdomyolysis? A case report. Dermatol Online J 5(2):2
Tillman DM, White SI, Aitchison TC (1990) Isotretinoin, creatinine kinase and exercise. Br J Dermatol 123:22–23
Dehoney S, Wellein M (2009) Rhabdomyolysis associated with the nutritional supplement Hydroxycut. Am J Health Syst Pharm 66(2):142–148
Sebag-Montefiore M, Laversuch C, Witt J (1992) Alcohol abuse associated with anterior tibial compartment syndrome–should it be a recognized complication? J R Soc Med 85(2):112–113
Farkash U, Shabshin N, Pritsch Perry M (2009) Rhabdomyolysis of the deltoid muscle in a bodybuilder using anabolic-androgenic steroids: a case report. J Athl Train 44(1):98–100
Singhal P, Horowitz B, Quinones MC, Sommer M, Faulkner M, Grosser M (1989) Acute renal failure following cocaine abuse. Nephron 52:76–78
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Wik, L., Patterson, J.M. & Oswald, A.E. Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed. Clin Rheumatol 29, 803–805 (2010). https://doi.org/10.1007/s10067-010-1391-9
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DOI: https://doi.org/10.1007/s10067-010-1391-9