The Journal of Bone and Joint Surgery (American). 2006;88:2265-2269.
doi:10.2106/JBJS.E.01441
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Bilateral Exercise-Induced Compartment Syndrome of the Thigh and Leg Associated with Massive Heterotopic Ossification

A Case Report

Joseph R. Lynch, MD1, Matthew V. Jenkins, BS1, Douglas G. Smith, MD1 and Carlo Bellabarba, MD1

1 Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Avenue, Box 359798, Seattle, WA 98104. E-mail address for J.R. Lynch: joelynch@u.washington.edu

Investigation performed at the Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington

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


   Introduction
 
Compartment syndrome of the thigh is an infrequent phenomenon, and it is even more rare for it to occur as a result of exercise. The vast majority of cases are associated with femoral fractures, thigh contusions, prolonged compression, and/or vascular injuries1,2. A search of the English-language literature revealed only eleven cases caused by intense or prolonged exercise (Table I). More importantly, we found only one reported case of bilateral thigh and leg compartment syndrome, the outcome of which was death secondary to multiorgan failure3. We are presenting what we believe is the first report on a survivor of exercise-induced compartment syndrome of both thighs and legs. Follow-up at fourteen months demonstrated reasonable functional recovery despite life-threatening medical complications and the development of massive heterotopic ossification.


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  		TABLE I Reported Cases of Acute Compartment Syndrome of the Thigh Secondary to Intense Exercise

 

The patient agreed to have the data concerning . . . [Full Text of this Article]


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J. A. Forsberg, J. M. Pepek, S. Wagner, K. Wilson, J. Flint, R. C. Andersen, D. Tadaki, F. A. Gage, A. Stojadinovic, and E. A. Elster
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