Hyperbaric oxygen therapy as treatment for bilateral arm compartment syndrome after CrossFit: case report and literature review.
Introduction
CrossFit is a physical fitness program characterized by high-intensity workouts that can be associated with serious injury. Acute compartment syndrome in the upper limbs is a rare occurrence. It may occur after intense physical exercise, and its usual treatment is surgical. Hyperbaric oxygen therapy is a treatment described as adjunctive in cases of compartmental syndrome.


Presentation
We describe the case of a CrossFit practitioner who, after intense training, developed progressive symptoms of rhabdomyolysis and acute bilateral arm compartment syndrome, who was successfully treated with hyperbaric oxygen therapy and required no fasciotomy as surgical treatment.


Conclusions
Acute compartment syndrome in the arms after intense physical exercise is a rare occurrence that should be suspected by practitioners of physical activity experiencing intense, disproportionate and progressive pain. In the case presented, hyperbaric oxygen therapy was successfully used in the treatment of the disorder, with satisfactory progress, and without the need for a surgical fasciotomy as therapy.
['Mendes|Adriano Fernando|AF|', 'Neto|José da Mota|JDM|', 'Heringer|Erica Maciel|EM|', 'de Simoni|Leandro Furtado|LF|', 'Pires|Diego Demolinari|DD|', 'Labronici|Pedro José|PJ|']
D000208:Acute Disease D000328:Adult D001132:Arm D003161:Compartment Syndromes D000072696:High-Intensity Interval Training D006801:Humans D006931:Hyperbaric Oxygenation D008279:Magnetic Resonance Imaging D008297:Male D016059:Range of Motion, Articular D012206:Rhabdomyolysis
hyperbaric oxygen therapy CrossFit acute compartment syndrome fasciotomy