Abstract：
BACKGROUND: Forearm chronic exertional compartment syndrome is a rare condition in athletes and musicians who perform repeated prolonged forced gripping movements. It mainly affects young men, and presents with cramp-like pain, beginning on the anteromedial side of the forearm and progressively extending to the entire circumference, and may be associated with muscle weakness and neurologic symptoms. The objective of this study was to report preliminary results of ultrasound-guided fasciotomy in the treatment of forearm chronic exertional compartment syndrome.
METHODS: A single-center retrospective observational study was conducted. Forearm chronic exertional compartment syndrome was diagnosed on clinical presentation and pathological intramuscular pressure measurement, defined as >30 mmHg at 1 min after effort. The series comprised 7 men, with bilateral involvement. Mean age was 30 years. All patients were motorcyclists. The mean preoperative intramuscular pressure at 1 min after effort was 60.75 mmHg (range: 30-81 mmHg). The main study endpoint was change in pain on visual analogic scale. Secondary endpoints comprised patient satisfaction, change in competitive sports level, and time to return to sport. Complications were noted.
RESULTS: Six patients (12 forearms) were evaluated. Mean follow-up was 22.5 months (range: 3-48 months). Mean pain rating was 7.3/10 (range: 6-9) preoperatively, and 0/10 postoperatively. All patients were satisfied with the procedure. Mean time to return to sports was 25.5 days (range: 21-30 days). No patients decreased their competitive sports level after the procedure. One patient presented a postoperative hematoma, not requiring surgery.
CONCLUSIONS: Ultrasound-guided fasciotomy in the treatment of Forearm chronic exertional compartment syndrome is an innovative technique with promising preliminary results.
METHODS: IV; retrospective cohort.
METHODS: A single-center retrospective observational study was conducted. Forearm chronic exertional compartment syndrome was diagnosed on clinical presentation and pathological intramuscular pressure measurement, defined as >30 mmHg at 1 min after effort. The series comprised 7 men, with bilateral involvement. Mean age was 30 years. All patients were motorcyclists. The mean preoperative intramuscular pressure at 1 min after effort was 60.75 mmHg (range: 30-81 mmHg). The main study endpoint was change in pain on visual analogic scale. Secondary endpoints comprised patient satisfaction, change in competitive sports level, and time to return to sport. Complications were noted.
RESULTS: Six patients (12 forearms) were evaluated. Mean follow-up was 22.5 months (range: 3-48 months). Mean pain rating was 7.3/10 (range: 6-9) preoperatively, and 0/10 postoperatively. All patients were satisfied with the procedure. Mean time to return to sports was 25.5 days (range: 21-30 days). No patients decreased their competitive sports level after the procedure. One patient presented a postoperative hematoma, not requiring surgery.
CONCLUSIONS: Ultrasound-guided fasciotomy in the treatment of Forearm chronic exertional compartment syndrome is an innovative technique with promising preliminary results.
METHODS: IV; retrospective cohort.
摘要：
背景：前臂慢性劳累性筋膜室综合征是一种罕见的情况，在运动员和音乐家中，他们反复进行长时间的强迫抓握运动。它主要影响年轻人，并呈现抽筋般的疼痛，从前臂的前内侧开始，逐渐延伸到整个圆周，并可能与肌肉无力和神经系统症状有关。这项研究的目的是报告超声引导下筋膜切开术治疗前臂慢性劳累性室综合征的初步结果。
方法：进行单中心回顾性观察研究。根据临床表现和病理肌内压力测量诊断为前臂慢性劳力室综合征，定义为努力后1分钟>30mmHg。该系列由7名男子组成，双边参与。平均年龄为30岁。所有患者都是摩托车手。术后1分钟的术前平均肌内压为60.75mmHg（范围：30-81mmHg）。主要研究终点是视觉模拟量表上的疼痛变化。次要终点包括患者满意度，竞技体育水平的变化，是时候回归运动了。注意到并发症。
结果：评估了6例患者（12个前臂）。平均随访22.5个月（范围：3-48个月）。术前平均疼痛评分为7.3/10（范围：6-9），术后0/10。所有患者对手术均满意。恢复运动的平均时间为25.5天（范围：21-30天）。手术后没有患者降低其竞技运动水平。一名患者出现术后血肿,不需要手术。
结论：超声引导下筋膜切开术治疗前臂慢性劳力室综合征是一种创新技术，具有良好的初步效果。
方法：IV；回顾性队列。
方法：进行单中心回顾性观察研究。根据临床表现和病理肌内压力测量诊断为前臂慢性劳力室综合征，定义为努力后1分钟>30mmHg。该系列由7名男子组成，双边参与。平均年龄为30岁。所有患者都是摩托车手。术后1分钟的术前平均肌内压为60.75mmHg（范围：30-81mmHg）。主要研究终点是视觉模拟量表上的疼痛变化。次要终点包括患者满意度，竞技体育水平的变化，是时候回归运动了。注意到并发症。
结果：评估了6例患者（12个前臂）。平均随访22.5个月（范围：3-48个月）。术前平均疼痛评分为7.3/10（范围：6-9），术后0/10。所有患者对手术均满意。恢复运动的平均时间为25.5天（范围：21-30天）。手术后没有患者降低其竞技运动水平。一名患者出现术后血肿,不需要手术。
结论：超声引导下筋膜切开术治疗前臂慢性劳力室综合征是一种创新技术，具有良好的初步效果。
方法：IV；回顾性队列。
