Abstract
We present a case report of acute bilateral excercise-induced
compartment syndrome in the adductor longus muscles, which was treated with
bilateral medial fasciotomies. Postoperatively, the healing process of the
adductor muscles was followed up by repeated MR imagings over six months.
Myonecrosis was found in peroperative muscle biopsies. Pain and muscle swelling
subsided soon after the fasciotomy, correlating with the early postoperative MR
findings. Four months postoperatively, the signal intensity of the adductor
muscles was normal in T1- and T2-weighted images, but the normal fibre
structure of the adductor muscles could only be seen 6 months postoperatively.
At six month's control checkup there was no subjective weakness of the
adductors, and hyperesthesia had disappeared and the patient was capable of
normal activities.
Key words
Compartment syndrome - exercise - surgery - MR imaging
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J. Leppilahti, MD, PhD
Department of Surgery · Oulu University Hospital
PL 22 90220 Oulu · Finland ·
Phone: +358-8-3152011
Fax: +358-8-3155318
Email: juhana.leppilahti@oulu.fi