Chronic exertional compartment syndrome

Hutchinson, Mark R.

doi:10.1136/bjsports-2011-090046

Cited by 24 publications

(22 citation statements)

References 6 publications

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“…Thus, clinical practice related to referral for fasciotomy often differs. A diagnosis of CCS that requires fasciotomy may be based on clinical findings only [1], but minimal or comprehensive ICP testing is usually also performed [9,10]. Results after fasciotomy are often good, but for lasting pain relief, decompression of an increasing number of leg compartments may be necessary, paralleling the complete compartmental decompression recommended for acute cases.…”

Section: Introductionmentioning

confidence: 99%

Changes in leg pain after bilateral fasciotomy to treat chronic compartment syndrome: a case series study

Orlin

Øen

Andersen

2013

Journal of Orthopaedic Surgery and Research

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BackgroundIntracompartmental pressure (ICP) as the diagnostic gold standard in the management of chronic compartment syndrome (CCS) is debated. We present a diagnostic protocol in which the decision to operate can be based upon clinical findings alone. The aim of this study was to examine whether patients who underwent surgery for CCS based on clinical findings experienced significant long-term pain relief.MethodsA standardized clinical examination, including skin sensitivity, was performed in patients with bilateral leg pain and/or cramps. Before and after a symptom-provoking step test, ICPs were measured. The primary outcome was self-reported leg pain measured on a visual analogue scale. Secondary outcomes were satisfaction with the treatment result and health-related quality of life (HRQL) measured with the SF-8 questionnaire. Postoperative data were collected after 2 years.ResultsFollow-up was completed for 37 of 40 patients. ICP was increased in 80.5% of the compartments examined before surgery, but did not correlate with the degree of leg pain. The remaining compartments were diagnosed as CCS based on clinical findings, despite ICPs below the threshold. Leg cramps occurred in 32 of 37 (86.5%) patients during physical activity and at night. Leg pain improved from a score of 8.0 ± 1.5 to 2.3 ± 2.1, P < 0.001. Satisfaction with the treatment result was reported by 81.1% of the patients, accompanied by normalized HRQL.ConclusionsThe diagnostic protocol led to a fasciotomy in all compartments of both legs, which was associated with substantial and sustained relief of leg pain, improved HRQL, and patient satisfaction.

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Section: Introductionmentioning

confidence: 99%

Changes in leg pain after bilateral fasciotomy to treat chronic compartment syndrome: a case series study

Orlin

Øen

Andersen

2013

Journal of Orthopaedic Surgery and Research

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“…The clinical presentation for an acute compartment syndrome is pain out of proportion to physical exam findings associated with a palpable tense compartment [14]. The surgery required to decompress the involved compartments (fasciotomies) would have been extensive and an emergency undertaking.…”

Section: Discussionmentioning

confidence: 99%

Exercise Induced Rhabdomyolysis or Acute Compartment Syndrome? A Strong Case for Compartment Pressure Measurement

Eldessouky¹

2016

ORP

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“…Although symptoms may be localized to a specific location, this is often a poor indicator of the compartment involved [84]. The anterior compartment is most frequently affected (45 %), followed by the deep posterior compartment (40 %), lateral compartment (10 %), and superficial posterior compartments (5 %) [85].…”

Section: Chronic Exertional Compartment Syndromementioning

confidence: 99%

Nonatherosclerotic PAD: Approach to Exertional Pain in the Lower Extremities

Mintz

Weinberg

2015

Curr Cardiol Rep

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Atherosclerotic peripheral artery disease is the most common cause of intermittent claudication. Nonatherosclerotic peripheral artery disease is a heterogeneous collection of diseases affecting the extracoronary arteries which is not due to atherosclerosis. These diseases include, but are not limited to, popliteal artery entrapment syndrome, cystic adventitial disease, external iliac endofibrosis, and thromboangiitis obliterans. Due to its relatively low prevalence, nonatherosclerotic peripheral artery disease may be misdiagnosed leading to the mismanagement of potentially treatable conditions. The proper and timely diagnosis of these conditions is paramount to the prevention of adverse outcomes as treatments widely vary. The diagnostic approach to patients presenting with intermittent claudication must take into account both atherosclerotic as well as nonatherosclerotic causes of peripheral artery disease making the differential vital to clinical practice.

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Chronic exertional compartment syndrome

Cited by 24 publications

References 6 publications

Changes in leg pain after bilateral fasciotomy to treat chronic compartment syndrome: a case series study

Changes in leg pain after bilateral fasciotomy to treat chronic compartment syndrome: a case series study

Exercise Induced Rhabdomyolysis or Acute Compartment Syndrome? A Strong Case for Compartment Pressure Measurement

Nonatherosclerotic PAD: Approach to Exertional Pain in the Lower Extremities

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