Long-term Results of Surgical Decompression of Chronic Exertional Compartment Syndrome of the Forearm in Motocross Racers

Winkes, Michiel B.; Luiten, Ernest J. T.; Zoest, Wart J.F. van; Sala, Harm A. G. M.; Hoogeveen, Adwin R.; Scheltinga, Marc R.

doi:10.1177/0363546511425647

Cited by 37 publications

(25 citation statements)

References 45 publications

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“…Location CECS is most common in the anterior and lateral compartments of the leg, especially in female endurance runners and in players of sports like soccer, field hockey, and lacrosse [30]. Repetitive muscle use and hypertrophy are considered predisposing conditions, including in the forearm of tennis players, rowers [31], motocross racers [32,33], and manual laborers [34].…”

Section: Chronic Exertional Compartment Syndromementioning

confidence: 99%

MRI of Musculotendinous Injuries—Part I: “Non-strain” Injuries

Boutin

Fritz²

2015

Curr Radiol Rep

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Muscle injuries have been consequential since ancient times, but evaluation of such injuries entered a new era with the advent of MRI. The pace of muscle injury research has accelerated in recent years, with new insights on prevention, diagnosis, treatment, and prognosis. This article reviews the current highlights in our understanding of musculotendinous injuries diagnosed by MRI, particularly: (1) direct injuries and their sequelae (e.g., contusion, hematoma, heterotopic ossification, muscle herniation, and chronic exertional compartment syndrome); (2) characteristic manifestations of tensile injuries in children at the apophysis and adults at areas of tendinopathy; and (3) differential diagnostic considerations for abnormal signal intensity seen on MRI.

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Section: Chronic Exertional Compartment Syndromementioning

confidence: 99%

MRI of Musculotendinous Injuries—Part I: “Non-strain” Injuries

Boutin

Fritz²

2015

Curr Radiol Rep

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“…In this subgroup, these authors have proposed to extend the measurement time above 5 minutes. [2][3][4][5] Chronic exertional compartment syndrome of the forearm has been identified in specific athletic population, namely, the motorcycling racers. [5][6][7][8][9][10][11] If nonoperative treatment fails, open or mini-invasive fasciotomy or partial fasciectomy may prove successful.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5] Chronic exertional compartment syndrome of the forearm has been identified in specific athletic population, namely, the motorcycling racers. [5][6][7][8][9][10][11] If nonoperative treatment fails, open or mini-invasive fasciotomy or partial fasciectomy may prove successful. 5,[12][13][14][15] Nowadays, the choice of performing an open fasciectomy versus mini-invasive fasciectomy remains controversial.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8][9][10][11] If nonoperative treatment fails, open or mini-invasive fasciotomy or partial fasciectomy may prove successful. 5,[12][13][14][15] Nowadays, the choice of performing an open fasciectomy versus mini-invasive fasciectomy remains controversial. The advantage of open fasciotomy is the full visualization of the compartment, which allows full extirpation of fascia to decrease scarring and reoccurrence, leading to outstanding success rates, nearing 100%.…”

Section: Introductionmentioning

confidence: 99%

“…The advantage of open fasciotomy is the full visualization of the compartment, which allows full extirpation of fascia to decrease scarring and reoccurrence, leading to outstanding success rates, nearing 100%. 5,16 Wideopen fasciotomy (WOF) is the gold standard in treating CECS. However, as this disorder affects a highly competitive professional athlete subgroup such as motorcycling racers, some authors defend lesser invasive techniques that would offer the added advantage of reducing the time off the racing tracks, without compromising the already excellent results.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Decompression of Exertional Compartment Syndrome of the Forearm in Professional Motorcycling Racers

Haddad

Correa-Vázquez

Segura

et al. 2016

Clinical Journal of Sport Medicine

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Chronic exertional compartment syndrome of the forearm diagnosed in a wider spectrum of patients and not seldom with a history of the same diagnosis in the lower legs

Sjöcrona,

Lindorsson,

Rennerfelt

2024

J. exp. orthop.

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PurposeTo identify patient characteristics associated with forearm chronic exertional compartment syndrome (CECS) and to demonstrate the distribution of intramuscular pressure (IMP) values at 1 min postexercise in a cohort of patients with exercise‐induced forearm pain.MethodsA consecutive series of 99 patients seeking orthopaedic consultation for chronic exertional forearm pain underwent IMP measurements between 2010 and 2023. The diagnosis of CECS was confirmed (n = 34) or ruled out (n = 65) based on the patient's history, clinical examination and IMP measurements.ResultsThere were significantly more male patients in the CECS group than in the group of patients where the diagnosis was ruled out. Furthermore, a significantly higher proportion of the CECS patients had been previously treated for CECS of the lower legs. The most common occupation was office worker (21%), followed by craftsperson (18%). The most common main physical activities were strength training (21%) and cycling (15%). The median (range) 1‐min postexercise IMP values for patients with CECS were 34 (23–68) mmHg for the flexor compartment and 32 (25–67) mmHg for the extensor compartment.ConclusionThis study demonstrates a more general population of CECS patients compared to previous studies. Notably, more than a fifth of the CECS patients had previously been treated for CECS in the lower legs. Importantly, considering the 95% confidence interval for IMP values in patients without CECS, the most used IMP cutoff value for diagnosing CECS appears to be too high for the forearm compartments.Level of EvidenceLevel II.

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Long-term Results of Surgical Decompression of Chronic Exertional Compartment Syndrome of the Forearm in Motocross Racers

Abstract: Surgical fasciotomy and fasciectomy of the forearm flexor compartment are equally successful in motocross racers suffering from forearm CECS.

Cited by 37 publications

References 45 publications

MRI of Musculotendinous Injuries—Part I: “Non-strain” Injuries

MRI of Musculotendinous Injuries—Part I: “Non-strain” Injuries

Surgical Decompression of Exertional Compartment Syndrome of the Forearm in Professional Motorcycling Racers

Chronic exertional compartment syndrome of the forearm diagnosed in a wider spectrum of patients and not seldom with a history of the same diagnosis in the lower legs

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