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The Journal of Bone and Joint Surgery (American) 85:1557-1559 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Case Report

Bilateral Chronic ExertionalCompartment Syndrome of theDorsal Part of the Forearm:The Role of MagneticResonance Imaging in Diagnosis

A Case Report

P. Raj Kumar, MS, FRCS(Orth), J. P.R. Jenkins, FRCP, FRCR and S. P. Hodgson, FRCS, FRCS(Orth)

Investigation performed at the Royal Bolton Hospital, Bolton, United Kingdom

P. Raj Kumar, MS, FRCS(Orth)
Department of Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast BT9 7JB, Northern Ireland. E-mail address: rajkumar@ukgateway.net

J.P.R. Jenkins, FRCP, FRCR
Manchester Royal Infirmary, Manchester M13 9WL, United Kingdom

S.P. Hodgson, FRCS, FRCS(Orth)
Royal Bolton Hospital, Bolton BL4 OJR, United Kingdom

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Although chronic exertional compartment syndrome of the anterior, lateral, and posterior compartments of the leg has been well defined 1-5 , the condition is rare in the upper extremity. We describe a patient with bilateral chronic exertional compartment syndrome of the forearm extensor muscles after routine strenuous activity. The diagnosis was confirmed with intramuscular pressure monitoring after magnetic resonance imaging, performed before and after exercise of the forearm, raised the possibility of this diagnosis. The patient was informed that his case might be submitted for publication.


   Case Report
 
A forty-seven-year-old man was referred to the upper-limb unit of our institution with a history of vague pain in the forearm and hand of about seven years' duration. The symptoms were aggravated by use of the upper limb. He reported that he had difficulty driving even short distances and said that his arms felt like lead weights. A carpal tunnel decompression had been . . . [Full Text of this Article]


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Editor's Note
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JBJS 2006 88: 446. [Extract] [Full Text]  



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JBJS Online, 1 Nov 2005 [Full text]