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4720 Topic: The Steyn Injury
clevermike

Status: Hall Of Fame
Posts: 10328
The Steyn Injury
May 07, 2013, 05:33:56

I have never heard of a rugby injury where "Compartment pressure" was mentioned as a result of the injury - at least it was nver reported in the media.   I consequently looked up the term on the internet and wish to quote the following:-

"Compartment syndrome is a limb- and life-threatening condition which occurs after an injury, when there is not a sufficient amount of blood to supply the muscles and nerves with oxygen and nutrients because of the raised pressure within the compartment such as the arm, leg or any enclosed space within the body and leads to nerve damage because of the lack of blood supply.[1] The severity of compartment syndrome can be divided into acute, subacute, and chronic compartment syndrome".

"Acute compartment syndrome is a medical emergency requiring immediate surgical treatment, known as a fasciotomy, to allow the pressure to return to normal.[12] An acute compartment syndrome has some distinct features such as swelling of the compartment due to inflammation and arterial occlusion. Decompression of the nerve traversing the compartment might alleviate the symptoms (Rorabeck, 1984). It usually occurs in the upper or lower limb after an injury. During compartment syndrome there is increased intra-compartmental pressure due to the accumulation of necrotic debris and haemorrhage, especially haemorrhage secondary to fractures (Rorabeck, 1984). Acute compartment syndrome (ACS) of the lower extremity is a clinical condition that is seen fairly regularly in modern practice (Shagdan, 2010). Although pathophysiology of the disorder is well known to physicians who care for patients with musculoskeletal injuries, the diagnosis is often difficult to make (Shagdan, 2010). If left untreated, acute compartment syndrome can lead to more severe conditions including rhabdomyolysis and kidney failure potentially leading to death."

Although there are less serious classifications of the syndrome - the fact that an operation was immediately done indicates that it was the acutte version of the syndrome in Steyn's case.   The above did not mention a second operation - which was also to be done on Tuesday in New Zealand - apparently already done.  That is a further indication that it was in fact acute compartment syndrome.

This is indeed a serious problem and one can only hope and pray for Steyn's full recovery from the injury and complications resulting from it. 

 

 


moolaa

Status: Squad member
Posts: 542
RE: The Steyn Injury
May 07, 2013, 07:36:40

 Bad luck for Steyn Mike....I'd been critical of him but he had shown glimpses of his old form in the last 2 games. Seemed a fairly innocuous incident when the injury occurred also.


clevermike

Status: Hall Of Fame
Posts: 10328
RE: The Steyn Injury
May 07, 2013, 07:49:24

moolaa

Nobody was more critical than I was of Steyn's performances - but this is not the issue here.  I think that being human and expressing feelings on that basis is really what counts in life and that is the case here.  Your viewpoint is appreciated in this case.


Beeno1

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Posts: 8973
RE: The Steyn Injury
May 07, 2013, 21:35:01

 private jug0 you appear the be suffering from compartment pressure in your head. Fancy that, I didnt know this could happen in a vacuum. Hahahhahahahahaha

Yes indeed one hopes frans will be okay - very very sad news


Saffex

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Posts: 7619
RE: The Steyn Injury
May 07, 2013, 22:34:10

 Jug you are a complete and utter twat


becs

Status: Squad member
Posts: 398
RE: The Steyn Injury
May 08, 2013, 01:05:26

I had Compartment Syndrome, Mike. It is excruciatingly painful.

I'm sure he'll have much better care and treatment than I had though !!


oimatey

Status: Bok regular
Posts: 1020
RE: The Steyn Injury
May 08, 2013, 01:39:23

 Becs you think 6 weeks is a realistic timeline?

 


becs

Status: Squad member
Posts: 398
RE: The Steyn Injury
May 08, 2013, 10:58:59

Lots of factors to take into consideration, oimatey.

What happened to cause the problem ? What damage has been done internally ? Worst case scenario is loss of life with this disorder,  then loss of limb. Then the lesser issue of death of nerve cells/muscle ( as in my case ), which contributes to long term disability, .....I don't personally know of anyone who has suffered full Compartment Syndrome without suffering long term effects so I do wonder how he would be able to get back onto a Rugby pitch at all after a bout of this disorder.

I'll be very interested to see what happens next.

He did appear to be in some discomfort when leaving the field and a minor knock/tear can be all it takes.

 

 


Beeno1

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Posts: 8973
RE: The Steyn Injury
May 08, 2013, 11:30:17

Becs I note you said "I had" - so trust its behind you now?

Its all very mysterious. When did this start and how much has it affected Frans. Why not treated before or has it  just been discovered.

Dont like the sound of it at all.

All the very best Frans


becs

Status: Squad member
Posts: 398
RE: The Steyn Injury
May 08, 2013, 11:44:03

Sadly no, Beeno.

For reasons unknown, my circulatory system ceased working, one day 20 years ago, and my Achilles Tendon blew up, literally. The untreated Compartment Syndrome arose from that injury and contributed to the death of a large amount of the Deep Peroneal Nerve in my right leg, my Neurologist said that too literally had a hole blown in it.  All of this then caused a neurological disorder called RSD/CRPS which proceeded to strip the nerves/muscles and even make holes in the bone of that leg. I almost lost it.....oh and the medics were all so useless that none of them had a clue what was going on at the time so I was more or less left to deal with it all myself and had no pain relief, the standard procedure is actually large amounts of morphine to counteract the pain of the leg being stripped bare from the inside.

 

I'm afraid that no, I have not made a recovery from it. I am disabled, my tendon didn't heal and I have RSD/CRPS as well as a severe circulatory disease and some other neurological diseases.

With regard to Steyn's injury, it is highly likely that it just happened last weekend and he is being treated now. If that is the case, it may be that it has been caught immediately or it is not that severe and he will be almost back to his old self again.

As I say, I am interested to see what the outcome of this is.


Beeno1

Status: Hall Of Fame
Posts: 8973
RE: The Steyn Injury
May 08, 2013, 17:04:52

Becs one doesnt really know what  to say in the face all all you have posted.. It is wonderful though that you keep going and hopefully a miracle will come your way. I have been healed instantaneously a couple of times in my life so it does happen.


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