Results of fasciotomy in patients with medial tibial syndrome or chronic anterior-compartment syndrome.

Wallensten, Richard

doi:10.2106/00004623-198365090-00005

Cited by 95 publications

(50 citation statements)

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“…1983,Sanzenetal. 1986, Wallensten 1983. Most reports have dealt with the immediate or short-term results of this operative procedure.…”

Section: Fasciotomy For Chronic Compartment Syndromt Sven M Almdahl mentioning

confidence: 99%

Fasciotomy for chronic compartment syndrome

Sm¹,

Samdal²

1989

Acta Orthopaedica Scandinavica

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“…1983,Sanzenetal. 1986, Wallensten 1983. Most reports have dealt with the immediate or short-term results of this operative procedure.…”

Section: Fasciotomy For Chronic Compartment Syndromt Sven M Almdahl mentioning

confidence: 99%

Fasciotomy for chronic compartment syndrome

Sm¹,

Samdal²

1989

Acta Orthopaedica Scandinavica

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“…are relieved by fasciotomy (72,83,84). Reneman (67) found that 9 patients diagnosed with anterior compartment syndrome continued to be symptomatic for at least one year.…”

Section: Wick Cathetermentioning

confidence: 99%

A comparison of anterior compartment pressures in competitive runners and cyclists

Beckham

Grana²,

Buckley³

et al. 1993

Am J Sports Med

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Anterior compartment pressure was measured in 10 competitive runners and in 10 competitive cyclists who were asymptomatic for compartment syndrome. Pres sures were measured at rest, after exercise at 80% VO2max, after maximal exercise, and 15 minutes after both exercise bouts. No difference in compartment pressure was found after exercise at 80% VO2max in runners and cyclists. Total creatine phosphokinase en zyme levels measured before and after exercise at 80% VO2max showed a 1 0-fold increase in runners as com pared to cyclists. Anterior compartment pressure meas ured after maximal exercise was significantly greater in runners as compared to cyclists. Compartment pres sure showed no increase from resting values during cycling at 80% VO2max or maximal exercise. These findings suggest that patients with chronic anterior compartment syndrome may be able to cycle without elevation of compartment pressure and concomitant pain as an alternative exercise to maintain a continued degree of fitness and training. Compartment pressures should be measured during cycling in patients with chronic compartment syndrome to determine its effi cacy as a method for maintenance of cardiorespiratory fitness.

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“…Although this approach is necessary for acute compartment syndrome, it may not be satisfactory in the elective treatment of patients with CECS. Different percutaneous techniques have also been described, but they all involve one or more incisions along the leg and a blind or "semiblind" subcutaneous passage of a cutting device, such as scissors or a fasciotome, to divide the deep investing fascia of the compartment [2,3,[5][6][7][8]. Two recent reports described endoscopy-assisted fasciotomy for the treatment of this condition [9,10], but this approach can be technically demanding and time-consuming.…”

Section: Introductionmentioning

confidence: 99%

Modified mini-open technique with skin transillumination for decompression fasciotomy in the treatment of chronic exertional compartment syndrome

Cronin

Zubovic

Moran

2007

J Orthopaed Traumatol

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Fasciotomy for chronic exertional compartment syndrome can be achieved by a variety of methods, many of which involve the blind passage of scissors or a fasciotome to release the affected compartments. We describe a modified open technique of fasciotomy which provides direct visualization of the fascia and the superficial peroneal nerve, using a single small incision. This technique requires a 4-cm longitudinal incision centered at the midpoint of the fibula. Subcutaneous tissues are dissected and a fascial incision is made. Langenbach retractors are used to lift the skin from either end of the wound. A light is used to transilluminate the skin proximal and then distal to the wound, and a fasciotome is used to extend the fasciotomies for both anterior and lateral compartments. Fasciotomy using this method was carried out on 20 cadaveric legs from 10 specimens. After decompression, a fulllength skin incision was made and the subcutaneous tissues were dissected to assess adequacy of release, anatomic course of the superficial peroneal nerve and complications. Fasciotomy was completed in twenty legs for both the anterior and lateral compartments. A complete fascial release was attained for both compartments in all legs. There were no retained fascial bands or nerve injuries. Fasciotomy using this method may be a safe and reliable method for compartment decompression, and may reduce iatrogenic risk to neurovascular and muscular structures in clinical practice.

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Results of fasciotomy in patients with medial tibial syndrome or chronic anterior-compartment syndrome.

Cited by 95 publications

References 0 publications

Fasciotomy for chronic compartment syndrome

Fasciotomy for chronic compartment syndrome

A comparison of anterior compartment pressures in competitive runners and cyclists

Modified mini-open technique with skin transillumination for decompression fasciotomy in the treatment of chronic exertional compartment syndrome

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