CHRONICLE COMPARTMENTAL SYNDROME OF THE FOREARM IN PROFESSIONAL SPORTSMEN:

Abstract

Introduction. Prospective study based on professional sportsmen who affected from Chronicle Compartmental Syndrome in forearm and its treatment.

Material and methods. 32 Chronicle Compartmental Syndrome in forearm were studied in 24 patients. Our selection was composed by 16 men and 8 women. In 8 of our cases both forearms were operated. The age range was from 17 to 33 years of age. Their sportive activity included: 20 professional motorcyclists, 2 wind-surfers and 2 mountainbikers.

To demonstrate evidence of Chronicle Compartmental Syndrome we performed a diagnostic test based on the measure of the intracompartmental pressure after stimulating their usual sportive activity. We considered a positive test when the measured an IMP> 15 mmHg after effort. We also performed a dynamometric of their grip and strength of the thumb-index forceps before and after surgery.

Results. All 24 patients presented clinical and tests compatible with Chronicle Compartmental Syndrome in forearm during effort activities which reached severe range due to loss of sensibility and propioception.

• - From 15 to 20 mmHg of IMP after effort, 8 cases.

• - From 20 to 30 mmHg of IMP after effort, 11 cases.

• - Over 30 mmHg of IMP after effort, 13 cases.

Minimal invasive surgery based on fasciotomy was performed to release compartmental pressure in flexor and extensor compartments of the forearm.

Conclusions. We can conclude that after fasciotomy most of our patients improve either clinically and diagnostic tests results, without strength loss, and are able to return to their usual activity completely recovered in a short period of time