Chronic exertional compartment syndrome of the forearm case presentation A healthy, 23-year-old male elite rower presents with a 1-year history of persistent forearm pain.
Chronic exertional compartment syndrome of the forearm case presentation A healthy, 23-year-old male elite rower presents with a 1-year history of persistent forearm pain. He describes an onset of pain after ten minutes of rowing that is progressive and worsens to the point that he needs to stop. He also describes some numbness over his second and third digits on occasion.
He notes forearm swelling after rowing. His symptoms normally resolve after about 30 minutes after stopping. He did visit an urgent care and x-ray studies were normal.
Which of the following is the most likely diagnosis? Median nerve compression B. Extensor tenosynovitis C.
Chronic exertional compartment syndrome of the forearm D. Ulna fracture introduction Chronic exertional compartment syndrome of the lower limb (CECS) is well reported, but CECS of the forearm is less known. CECS of the forearm is a rare condition in the general population, but can be observed in motorcycling racers, climbers, and rowers.
A high index of suspicion is necessary to diagnose it in most cases. The etiology of chronic exertional compartment syndrome (CECS) remains debated. Currently, the most accredited theory reports that a non-compliant fascia stiffens the compartment that fails to adapt to increased blood flow and muscle volume during exercise.
If you are experiencing symptoms that may be related to chronic exertional compartment syndrome of the forearm, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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