Acute XXXX in an athlete: a case report.

@entity1 @entity697 @entity121 @entity39 @entity63 @entity2054 @entity158 @entity1642
OBJECTIVE: To present the case of a college football player with acute, atraumatic, exercise-induced @entity2054 in the leg. BACKGROUND: Acute, atraumatic, exercise-induced @entity2054 is an infrequently reported cause of @entity158 in the athlete. If left untreated, @entity697 can cause @entity121 . DIFFERENTIAL DIAGNOSIS: Chronic exertional @entity2054 , medial tibial syndrome, @entity1642 . TREATMENT: Treatment consists of compartment fasciotomy. UNIQUENESS: This previously healthy, but unconditioned, athlete developed severe anterolateral left @entity158 after two days of fall practice in which he was unable to run a mile in 7.5 minutes. Physical examination by the team physician revealed @entity697 , and an emergency anterolateral compartment fasciotomy was performed. Second-look d  bridement performed 48 hours later revealed no significant change in the @entity39 appearance of the anterior compartment soft tissue. Therefore, the dead muscle was completely d  brided, and a free-flap latissumus dorsi graft was used for coverage of the wound. With recovery, strength returned to normal in the lateral compartment but remained 0/5 in the anterior compartment. The @entity1 had persistent sensory loss in the distributions of the superficial and deep peroneal nerves. CONCLUSIONS: Although much less common than the more frequent causes of @entity158 (ie, chronic exertional @entity2054 , medial tibial syndrome, @entity1642 ), @entity697 is potentially more devastating. When the increased intracompartmental pressure within a closed tissue space exceeds capillary perfusion pressure, tissue perfusion is decreased, the soft tissue becomes @entity63 , and cells die. The most important clinical diagnostic signs of @entity2054 are @entity158 with passive stretching of the compartment and @entity158 out of proportion to the results of the physical examination.
