Hyperbaric oxygen therapy as treatment for bilateral arm compartment syndrome after CrossFit: case report and literature review.

Autor:	Mendes AF Jr; Orthopedics and Traumatology Service, Hospital Universitário da Universidade Federal de Juiz de Fora Juiz de Fora, Minas Gerais, Brasil.; Orthopedics and Traumatology Service, Hospital e Maternidade Terezinha de Jesus, Juiz de Fora, Minas Gerais, Brasil., Neto JDM; Orthopedics and Traumatology Service, Hospital Universitário da Universidade Federal de Juiz de Fora Juiz de Fora, Minas Gerais, Brasil.; Orthopedics and Traumatology Service, Hospital e Maternidade Terezinha de Jesus, Juiz de Fora, Minas Gerais, Brasil., Heringer EM; School of Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brasil., de Simoni LF; Orthopedics and Traumatology Service, Hospital Universitário da Universidade Federal de Juiz de Fora Juiz de Fora, Minas Gerais, Brasil., Pires DD; Cedimagem Radiology Clinic, Hospital Monte Sinai, Juiz de Fora, Minas Gerais, Brasil., Labronici PJ; School of Medicine, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil.
Jazyk:	angličtina
Zdroj:	Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc [Undersea Hyperb Med] 2018 Mar-Apr; Vol. 45 (2), pp. 209-215.
Abstrakt:	Introduction: CrossFit is a physical fitness program characterized by high-intensity workouts that can be associated with serious injury. Acute compartment syndrome in the upper limbs is a rare occurrence. It may occur after intense physical exercise, and its usual treatment is surgical. Hyperbaric oxygen therapy is a treatment described as adjunctive in cases of compartmental syndrome. Presentation: We describe the case of a CrossFit practitioner who, after intense training, developed progressive symptoms of rhabdomyolysis and acute bilateral arm compartment syndrome, who was successfully treated with hyperbaric oxygen therapy and required no fasciotomy as surgical treatment. Conclusions: Acute compartment syndrome in the arms after intense physical exercise is a rare occurrence that should be suspected by practitioners of physical activity experiencing intense, disproportionate and progressive pain. In the case presented, hyperbaric oxygen therapy was successfully used in the treatment of the disorder, with satisfactory progress, and without the need for a surgical fasciotomy as therapy. Competing Interests: The authors of this paper declare no conflicts of interest exist with this submission. (Copyright© Undersea and Hyperbaric Medical Society.)
Databáze:	MEDLINE
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