Acute Compartment Syndrome of the Thigh Associated with Exercise

Differential responses of serum and salivary interleukin-6 to acute strenuous exercise

“…Taken together, our data suggest that the magnitude of serum IL-6 increase during or after exercise should not be considered predictive of complications due to strenuous effort, such as the acute compartment syndrome, with the consequent ischemia and damage to the structures within the compartment (Bertoldo et al 2003;Bidwell et al 1996;Brodsky and Bongiovanni 2000;Fehlandt and Micheli 1995;Kahan et al 1994;Kuklo et al 2000;Leach et al 1967;Lonka and Pedersen 1987;McHale and Prahinski 1994;McKee and Jupiter 1995;Nau et al 2000;Power and Greengross 1991;Presnal and Heavilon 1995;Robinson SJ (2000); Wise and Fortin 1997). In a recent study, Bertoldo et al (2003) reported a case of acute bilateral exercise-induced compartment syndrome of the thigh in a man who had performed a spinning activity for 1 h; the pressure of the anterior compartment was bilaterally elevated, as were the serum levels of muscle enzymes.…”

Compartment syndrome of the knee extensor muscles associated with brief vigorous exercise and subsequent surgical reconstruction

“…1,7 Unlike previously described cases of anterior thigh compartment syndrome fasciotomy did not result in full recovery and a secondary procedure was needed to aid recovery. 2,5,10,14 This was despite prompt diagnosis and treatment. We describe this reconstructive procedure and how it can overcome the severe injury that the patient sustained.…”

Acute Anterior Thigh Compartment Syndrome Revisited: A Case Report and Review of Literature

“…Being a rare entity, it is not surprising to find only nine reported cases of acute non traumatic anterior thigh compartment syndrome in the English literature that have been caused purely by over exertion [17][18][19][20][21][22][23][24][25].…”

“…Nau et al [18] described a case of a 51-year-old male presenting 3 days following a heavy course of weight training. Similar cases related to weight training have been reported by Wise et al [19] and Robinson et al [20].…”