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Case Reports in Emergency Medicine
Volume 2017, Article ID 9454782, 3 pages
https://doi.org/10.1155/2017/9454782
Case Report

Exercise-Induced Acute Bilateral Upper-Arm Compartment Syndrome

1Emory University School of Medicine, Atlanta, GA, USA
2Department of Orthopaedics and Rehabilitation, Detroit Medical Center, Wayne State University School of Medicine, Orthopaedic Surgery Residency Program, Detroit, MI, USA
3Department of Orthopaedics, Dekalb Medical Center, Decatur, GA, USA

Correspondence should be addressed to Brian C. Traub; ude.yrome@buartb

Received 22 February 2017; Revised 8 August 2017; Accepted 16 August 2017; Published 20 September 2017

Academic Editor: Henry David

Copyright © 2017 Brian C. Traub et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a rare case of acute exercise-induced bilateral upper-arm compartment syndrome in a patient who, after a year-long hiatus from exercise, subjected his upper-extremities to the stress of over 100 pushups. The patient presented with severe pain of the bilateral biceps and triceps and complaints of dark urine. Decompressive fasciotomy was performed followed by an intensive care unit (ICU) stay for associated myoglobinuria secondary to rhabdomyolysis. The patient suffered no long-term sequelae as a result of his conditions and recovered full function of the bilateral upper-extremities. Albeit rare, acute exercise-induced compartment syndrome should be considered as a diagnosis following unaccustomed bouts of exercise.