Fibrolipomatous hamartoma (FLH) is a rare, benign neoplasm that affects the median nerve predominantly and can present with compressive symptoms. MRI can be used to diagnose this condition without the need for a nerve biopsy. While no definitive treatment has been described, open carpal tunnel release for nerve decompression is currently the standard of care to alleviate compressive neuropathies of the median nerve. In this report, we describe a case of FLH diagnosed via MRI in which the patient's symptoms responded to open carpal tunnel release.
Case: A healthy 24-year-old woman developed rhabdomyolysis and acute bilateral thigh compartment syndrome after 10 minutes of spin class. She was successfully managed with early recognition, aggressive fluid resuscitation, and prompt bilateral surgical decompressive fasciotomy.
Conclusion:Rhabdomyolysis with acute compartment syndrome is a rare but devastating combination of conditions. A high suspicion for rhabdomyolysis and progression to acute compartment syndrome is warranted for any patient presenting with increasing pain even with a limited history of trauma or exertion. Early recognition and medical and surgical treatment are paramount to preventing permanent damage.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C113).
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