Endoscopic fasciotomy in chronic exertional compartment syndrome of the forearm caused by heavy manual work – case report

Abstract

Chronic exertional compartment syndrome (CECS) of the forearm is a rare condition causing pain, tenderness, swelling, paraesthesia and muscle weakness. It is caused by a critical augmentation of the extracellular pressure of the forearm compartments induced by intensive sport or heavy manual work. This case report describes a 33-year-old demolition worker who presented with chronic exertional compartment syndrome of both forearms induced by severe physical work. The exclusion diagnosis was made based on clinical and electro-physiological examinations. The patient was treated using a minimal-invasive one portal endoscopic fasciotomy. He resumed to full work duties with no recurrence of symptoms during strain caused by heavy lifting and carrying. In conclusion, endoscopic forearm fascial release is a safe, efficient and minimally invasive technique that avoids the disadvantages associated with open decompression in cases of CECS and facilitates an early resumption of work.

Keywords

• chronic exertional compartment syndrome
• endoscopic
• fasciotomy
• forearm
• minimally invasive technique