Isolated Acute Exertional Compartment Syndrome (AECS) of the
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Only two cases of an isolated compartment syndrome of the extensor carpi ulnaris have been described previously. In both cases, the onset was acute. In the first case, histological examination revealed no necrosis. The second case was regarded to be due to a previously unknown anatomic variation and no necrotic tissue was recognized upon gross examination. This case report describes the third case of an isolated acute exertional compartment syndrome (AECS) of the extensor carpi ulnaris muscle with focal areas of necrotic tissue. We report the third case of an isolated AECS of the extensor carpi ulnaris muscle. A 35-year-old left-handed man, a motor mechanic by profession, presented to the emergency department with excruciating pain at the ulnar side of the left dorsal forearm. The previous day, he had repetitively used a sliding hammer with his left arm. Since then he had experienced severe pain despite the use of over-the-counter non-steroidal anti-inflammatory drugs. Here, in contrast to the previously reported cases, the histological examination revealed focal areas of necrotic tissue. No anatomic variations were found during surgical decompression. Postoperatively, the patient had complete pain relief and the return of function.

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