Chronic exertional compartment syndrome of the forearms secondary to weight training

Exertional Compartment Syndrome of the Forearm in an Elite Flatwater Sprint Kayaker

“…2 Reported activities among patients with forearm CECS carry the common theme of placing significant demands on the forearm musculature, including manual labor, 4,11,12,21,25 motorcycle racing, 1,9,16 tennis, 2 rock climbing, 24 and weight lifting. 13 Our report of forearm CECS in an elite, Olympiclevel flatwater kayaker is the first we are aware of but is consistent with these prior reports given the considerable demands flatwater kayakers place on their forearmsparticularly the volar compartments, through which the majority of load is transmitted during the sprint stroke.…”

“…To our knowledge, only 25 cases of forearm CECS have been reported. 1,2,4,[8][9][10][11][12][13][14][16][17][18]21,[24][25][26][27][28][29] Anatomically, forearm compartment anatomy is more complex than in the lower extremity. Because fascial divisions are less distinct in the forearm-a number of muscular planes connecting 1 "compartment" to another-there exist multiple potential fascial enclosures.…”

“…† Where noted, the majority of these reported cases involve activities that place substantial demands on the forearm musculature, including manual labor, 4,11,12,21,25 motorcycle racing, 1,9,16 tennis, 2 rock climbing, 24 and weight lifting. 13 We report a novel case of CECS in an elite flatwater kayaker, discuss this patient's management, and present a review of the literature.…”

Long-term Results of Surgical Decompression of Chronic Exertional Compartment Syndrome of the Forearm in Motocross Racers

“…Berlemann (1998) 3 1 Tennis Fasciotomy Yes Garcia Mata (1999) 14 1 Motocross Fasciotomy Yes Jawed (2001) 21 1 Weight lifting Fasciotomy Yes Hider (2002) 18 1 Lifting, driving Fasciotomy Yes Goubier (2003) 16 2 Motocross Fasciotomy 100% Zandi (2005) 44 6 Wheelchair athletics (n = 1) Motocross (n = 1) Manual working (n = 1) Climbing (n = 1) Turner (n = 1) Water skiing (n = 1)…”

“…Mean values during rest were 15 6 4 mm Hg (range, [9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Provocation resulted in a more than 4-fold rise up to 78 6 24 mm Hg (range, 25-120 mm Hg).…”