![]() ![]() This will allow return to participation in the desired sport usually without ongoing symptoms. When this is done, the pressure caused by muscle swelling will not build within the compartment to the level causing diminished blood flow, deoxygenation, and subsequent pain and numbness. The surgical procedure, a compartment release, will open the tight compartment. If the symptoms persist, surgery may be indicated. Activity can be modified in an effort to improve symptoms. Initial treatment for forearm pump is conservative. A case of chronic exertional compartment syndrome of the forearm flexor muscles after routine, strenuous work activity is presented. Materials and methods: Racers with proven CECS and without CECS and male individuals not involved in strenuous activities with the forearm were included. To our knowledge, this is the first case report of a softball player with CECS, with only. This article presents the case of a collegiate softball pitcher presenting with CECS in her right forearm. ![]() However, very few instances include CECS of the upper limb. An increase of pressure over a certain level may confirm the diagnosis. Introduction: The purpose of this prospective study was to demonstrate the findings of MRI in motocross racers with chronic exertional compartment syndrome (CECS) of the forearm. Background Chronic exertional compartment syndrome (CECS) is a recognized condition in the lower limb, with many reports in the literature. A diagnostic procedure can also be performed where a needle attached to a pressure gauge is inserted into a forearm compartment before and immediately after activity that causes symptoms. The symptoms are noted to resolve after the aggravating activity is completed and time has passed to rest. They may include excessive forearm swelling, pain, and numbness. ![]() The diagnosis of this uncommon condition is usually by patient history of symptoms occurring with exertion during specific physical activity. Increased pressure and the resulting diminished oxygenation can also affect the nerves in the compartment causing numbness. When prolonged activity causes excessive muscle swelling within a compartment, the pressure may diminish blood flow to the muscles resulting in decreased oxygenation causing pain. There are distinct compartments within the forearm containing muscles, arteries, and nerves. The compartments of the extremities are discussed below. Abdominal compartment syndrome is discussed separately. Symptoms usually occur during the activity and resolve with rest after the activity is stopped. ACS has been described in the upper extremity (primarily the forearm), lower extremity (primarily the leg), hand, foot, buttock, abdomen, thorax, and orbit ( table 2) 27,52-55. It may also occur with weight lifting, rock climbing, and paddle sports. It occurs most commonly in prolonged motocross riding. It describes which clinical tests are most helpful for diagnosis and which findings may be distracting. This case report and review of the literature may be helpful to the clinician facing similar cases. Forearm pump, or chronic exertional compartment syndrome (CECS) is a condition that causes forearm pain often accompanied by numbness and tingling in the hand. Chronic exertional compartment syndrome of the forearm is extremely rare, especially in the female athlete. ![]()
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