Table 1 Case timeline
From: Chronic Exertional Compartment Syndrome in the Forearm of a Collegiate Softball Pitcher
March 30 | First presentation to a sports medicine physician. |
April 2 | EMG and NCS. Results normal. |
May 26 | Second presentation to orthopaedic surgeon with the same symptoms. Plan included 1Â month of rest and a MRI. |
May 28 | MRI of right forearm and elbow. Results normal. |
May 29 | Second opinion from physician who agreed MRI was normal, and the presentation was not developed enough to indicate CECS. |
June 3 | MRI of cervical region to rule out neurological etiology. |
June 4 | Angiogram of cervical region, specifically right vertebral artery, to rule out vascular etiology. |
June 4–September 1 | Patient was home for the summer. Played no summer ball and rested the forearm. |
September 1 | Third presentation. The patient manifested pain upon exercise in clinic. |
September 11 | MRI of bilateral forearms pre- and post-exercise. Results found to be diagnostic of CECS. |
September 14 | Fourth presentation. Some findings unexpected. |
September 16 | Compartment pressure measurements pre- and post-exercise. Fasciotomy and release of right forearm dorsal, volar, and mobile wad compartments. |
September 22 | 7Â day follow-up. Symptoms greatly relieved, yet postoperatively swelling. |
September 24 | 9Â day follow-up. Swelling found subsiding. |
September 29 | 13Â day follow-up. Stitches removed and subcutaneous hematoma aspirated. |
October 27 | 6Â week follow-up. Forearm movement back to normal and wounds benign. |
January 19 | 4Â month follow-up. |