Virginia Via Research Day Book 2026

Medical Student Research Case Reports

49 CASE STUDY: FEMALE COLLEGIATE ATHLETE PRESENTATION OF UPPER EXTREMITY COMPARTMENT SYNDROME

Jenny Jung, OMS II; Matthew Chung, DO, CAQSM, RMSK, FAOASM Corresponding author: jjung01@vcom.edu

VCOM-Virginia, Blacksburg, Virginia

contains four distinct compartments separated by strong intermuscular septa and the interosseous membrane, with the anterior and lateral compartments most often affected. The rarity of upper extremity compartment syndromes is due to lower exposure to high-risk injuries and anatomical differences that make the lower leg more susceptible to the pathophysiological processes leading to Compartment Syndrome. Objective: The case follows a female collegiate softball athlete who presented with upper extremity compartment syndrome and treated surgically with successful return to sport. Details of this case are forthcoming as the report has not yet fully transferred for evaluation.

Background: Compartment Syndrome is a condition in which increased pressure within a closed muscle compartment compromises circulation and tissue function, ultimately leading to ischemia and potentially irreversible damage if not promptly treated. While Compartment Syndrome could occur along any extremity, it is commonly seen in the lower leg due to their anatomical structure. The lower leg contains multiple muscle groups tightly bound by noncompliant, dense fascia, creating closed compartments w/ limited ability to expand. As a result, if there is any increased swelling, bleeding, or fluid in these compartments, the rigid fascia prevents outward expansion, rapidly increasing intercompartmental pressure and compromising perfusion. Similarly, the forearm could be affected, but it is much rarer because the lower leg

Hypothesis/Methods: Upper Extremity Compartment Syndromes are extremely rare and can be missed due to subtle or masked presentations, and early, vigilant assessment is crucial to prevent serious morbidity. Through this case report, we hope to identify key features and presentations about Upper Extremity Compartment Syndromes, provide education on the importance of prompt identification of similar cases, and discuss potential RTP progression.

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2026 Research Recognition Day