Isolated necrosis of the brachialis muscle due to exercise

• Published in: Orthopedics (Thorofare, N.J.) Vol. 25; no. 6; pp. 682 - 684
• Main Authors: FARMER, Kevin William, MCFARLAND, Edward George, SONIN, Andrew, COSGAREA, Andrew John, ROEHRIG, Gregory J
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01.06.2002; SLACK INCORPORATED
• Subjects: Adult; Arm Injuries - etiology; Arm Injuries - pathology; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Compartment Syndromes - etiology; Compartment Syndromes - pathology; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Female; Humans; Magnetic Resonance Imaging; Medical sciences; Muscle, Skeletal - injuries; Muscle, Skeletal - pathology; Necrosis; Weight Lifting - injuries; Human; Physical exercise; Cardiovascular disease; Athlete; Sports medicine; Arterial disease; Vascular disease; Case study; Biceps muscle; Symptomatology; Striated muscle disease; Association; Treatment; Young adult; Upper limb; Diagnosis; Arm; Compartment syndrome
• ISSN: 0147-7447; 1938-2367
• DOI: 10.3928/0147-7447-20020601-20

Exercise-induced compartment syndromes are well recognized in the fore-arm and leg, but are less common in the arm. Arm compartment syndromes have been described in the anterior compartment due to prolonged external compression, trivial trauma, rupture of the long head of the biceps while on anticoagulation therapy, humeral shaft fracture, venipuncture in a hemophiliac, a complication of a pneumatic tourniquet, the use of a noninvasive blood pressure monitor, pressurized infiltration of intravenous fluid, and a biceps contusion occurring as a result of a tackle during a football game. Posterior arm compartment syndromes have been reported in a few cases, typically following trauma. This article presents a case of exercise-induced compartment syndrome.