PDF(Pubmed)
Abstract：
BACKGROUND: Compartment syndrome is a well-known phenomenon that is most commonly reported in the extremities. However, paralumbar compartment syndrome is rarely described in available literature. The authors present a case of paralumbar compartment syndrome after high intensity deadlifting.
METHODS: 53-year-old male who presented with progressively worsening low back pain and paresthesias one day after high-intensity deadlifting. Laboratory testing found the patient to be in rhabdomyolysis; he was admitted for intravenous fluid resuscitation and pain control. Orthopedics was consulted, and Magnetic Resonance Imaging revealed significant paravertebral edema and loss of muscle striation. Given the patient\'s lack of improvement with intravenous and oral pain control, clinical and radiographic findings, there was significant concern for acute paralumbar compartment syndrome. The patient subsequently underwent urgent fasciotomy of bilateral paralumbar musculature with delayed closure.
CONCLUSIONS: Given the paucity of literature on paralumbar compartment syndrome, the authors\' goal is to promote awareness of the diagnosis, as it should be included in the differential diagnosis of intractable back pain after high exertional exercise. The current literature suggests that operative cases of paralumbar compartment syndromes have a higher rate of return to pre-operative function compared to those treated non-operatively. This case report further supports this notion. The authors recommend further study into this phenomenon, given its potential to result in persistent chronic exertional pain and irreversible tissue damage.
METHODS: 53-year-old male who presented with progressively worsening low back pain and paresthesias one day after high-intensity deadlifting. Laboratory testing found the patient to be in rhabdomyolysis; he was admitted for intravenous fluid resuscitation and pain control. Orthopedics was consulted, and Magnetic Resonance Imaging revealed significant paravertebral edema and loss of muscle striation. Given the patient\'s lack of improvement with intravenous and oral pain control, clinical and radiographic findings, there was significant concern for acute paralumbar compartment syndrome. The patient subsequently underwent urgent fasciotomy of bilateral paralumbar musculature with delayed closure.
CONCLUSIONS: Given the paucity of literature on paralumbar compartment syndrome, the authors\' goal is to promote awareness of the diagnosis, as it should be included in the differential diagnosis of intractable back pain after high exertional exercise. The current literature suggests that operative cases of paralumbar compartment syndromes have a higher rate of return to pre-operative function compared to those treated non-operatively. This case report further supports this notion. The authors recommend further study into this phenomenon, given its potential to result in persistent chronic exertional pain and irreversible tissue damage.
摘要：
背景：筋膜室综合征是一种众所周知的现象，最常见于四肢。然而,在现有的文献中很少描述旁筋膜室综合征。作者介绍了高强度举伤后的旁筋膜室综合征。
方法：53岁男性，在高强度抬举一天后出现逐渐恶化的下腰痛和感觉异常。实验室检查发现患者患有横纹肌溶解症；他因静脉液体复苏和疼痛控制而入院。咨询了骨科,和磁共振成像显示显著的椎旁水肿和肌肉条纹的损失。鉴于患者缺乏静脉和口腔疼痛控制的改善，临床和影像学检查结果，严重关注急性旁房室综合征.患者随后接受了双侧旁肌肌的紧急筋膜切开术，并延迟闭合。
结论：鉴于关于旁房室综合征的文献很少，作者的目标是提高对诊断的认识，因为它应该包括在高劳力运动后顽固性背痛的鉴别诊断中。目前的文献表明，与非手术治疗的病例相比，腹旁室综合征的手术病例具有更高的术前功能恢复率。本病例报告进一步支持这一概念。作者建议进一步研究这一现象，鉴于其可能导致持续的慢性劳力性疼痛和不可逆转的组织损伤。
方法：53岁男性，在高强度抬举一天后出现逐渐恶化的下腰痛和感觉异常。实验室检查发现患者患有横纹肌溶解症；他因静脉液体复苏和疼痛控制而入院。咨询了骨科,和磁共振成像显示显著的椎旁水肿和肌肉条纹的损失。鉴于患者缺乏静脉和口腔疼痛控制的改善，临床和影像学检查结果，严重关注急性旁房室综合征.患者随后接受了双侧旁肌肌的紧急筋膜切开术，并延迟闭合。
结论：鉴于关于旁房室综合征的文献很少，作者的目标是提高对诊断的认识，因为它应该包括在高劳力运动后顽固性背痛的鉴别诊断中。目前的文献表明，与非手术治疗的病例相比，腹旁室综合征的手术病例具有更高的术前功能恢复率。本病例报告进一步支持这一概念。作者建议进一步研究这一现象，鉴于其可能导致持续的慢性劳力性疼痛和不可逆转的组织损伤。
