Citation

Gould DJ, Badash I, Han S, Wong AK. Cureus 2016; 8(12): e939.

Affiliation

Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC.

Copyright

(Copyright © 2016, Curēus)

DOI

10.7759/cureus.939

PMID

28123920

Abstract

Thigh compartment syndrome (TCS) is a rare condition caused by high pressures within the fascial compartments of the thigh, impeding capillary flow and leading to decreased perfusion, tissue hypoxia, and necrosis. TCS is most frequently associated with trauma and anticoagulation but has also rarely been associated with exercise-related injury. We present the case of a 19-year-old female who reported painful swelling in her thighs and darkening of her urine after participating in a spinning class. On physical examination, the patient was found to have tight, painful thigh compartments with extreme tenderness on passive motion. Labs revealed a marked elevation of creatine kinase and leukocytosis. The patient was diagnosed with TCS and underwent emergent decompression fasciotomy and aggressive IV fluids for protection against myoglobinuria. Due to high clinical suspicion, prompt diagnosis, and early surgery, the patient experienced excellent recovery without functional deficits.

Language: en

Keywords

compartment syndrome; exertional injury; rhabdomyolysis; spinning; stationary bike; thigh