Acute compartment syndrome of the anterior compartment of the arm following a traumatic distal biceps rupture with rupture of a high-take off radial artery: A case report
Acute compartment syndrome of the upper arm is a rare occurrence and is recorded sparsely in the literature. There are a handful documented cases of this occurring in the setting of a distal biceps tendon rupture. A 45-year-old man sustained a distal biceps rupture post low energy fall, and subseque...
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Published in | Journal of Orthopaedic Reports Vol. 3; no. 3; p. 100299 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Elsevier B.V
01.09.2024
Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | Acute compartment syndrome of the upper arm is a rare occurrence and is recorded sparsely in the literature. There are a handful documented cases of this occurring in the setting of a distal biceps tendon rupture.
A 45-year-old man sustained a distal biceps rupture post low energy fall, and subsequently developed anterior arm compartment syndrome. On imaging, it was found he had a concurrent rupture of a high take-off radial artery (or brachioradial artery) causing a large compressive haematoma. He had an emergent evacuation of haematoma, fasciotomy and ligation of the ruptured artery. After a delayed distal biceps tendon repair, he has made a full recovery at three months follow-up.
It is vital to recognise the signs of acute compartment syndrome as a missed event may have devastating consequences. It is imperative not to dismiss such a possibility in the upper arm because of its rare occurrence, and not to be misled by a distracting injury. Early recognition and emergent surgical decompression is the key to successful management. |
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ISSN: | 2773-157X 2773-157X |
DOI: | 10.1016/j.jorep.2023.100299 |