Return to Duty After Elective Fasciotomy for Chronic Exertional Compartment Syndrome

McCallum, Jeremy R.; Cook, Jay B.; Hines, Adam C.; Shaha, James S.; Jex, Jefferson W.; Orchowski, Joseph

doi:10.1177/1071100714539661

Cited by 37 publications

(34 citation statements)

References 18 publications

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“…5,[8][9][10][11]13,15,17,19,32,33 Though the associated return-to-duty rates span a large range, many are approximately 80% and above for soldiers returning to full duties at an average time of 3-6 months. [9][10][11]13,18,21,22,24,25,27,28,30 In many cases, these interventions were used in conjunction with traditional military medical care that was largely focused on medication prescription 6,16,17 or surgery. 5,[8][9][10][11]13,26 Doukas et al 12 used a combined rehabilitation therapy approach involving a minimum of three hours of therapy a day from physiotherapy, occupational therapy, speech language pathology, social work or psychology, and medical treatment in a rehabilitation unit; however, the authors did not mention return-to-duty rates or the specifics of each intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Note: The number of personnel was not included for studies that did not state this information. 6 Weisel (2010), 14 Cohen et al (2010), 1 Cohen et al (2010), 20 Cross et al (2012), 29 Cohen et al (2012), 18 McCallum et al (2014), 30 Booth-Kewley et al (2014), 34 Teyhen (1999). 31 Of note is one study that stated that 14% of service members returned to duty and that 88% of these returned with no physical limitations.…”

Section: Publications By Country and By Typementioning

confidence: 99%

See 1 more Smart Citation

Functional rehabilitation criteria required for a safe return to active duty in military personnel following a musculoskeletal injury: a scoping review

Houghton

Maynard

Aiken

2016

Journal of Military, Veteran and Family Health

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The objective of this article is to assess the types of musculoskeletal (MSK) injuries commonly affecting military personnel and the outcome measures that may be used to predict a safe return to active duty post-injury. The key word-driven electronic search identified 190 articles initially. Thirty-one articles remained following application of inclusion and exclusion criteria. The United States published 27 of the 31 studies, most of which were retrospective reviews, case series, prospective cohort studies, and randomized controlled trials. Based on inclusion frequency, MSK injuries of the shoulder, back, knee, ankle, and foot are the most prevalent in military populations. Physical therapy interventions varied significantly even among similar injury types with return-to-duty rates varying from 2 to 100 per cent over three to 20.9 months, depending on intervention and injury type. Many varied outcome measures were used between studies to evaluate subjects. No concrete criteria currently exist to evaluate readiness for a safe return to duty following an MSK injury. More widespread use of standardized protocols for specific injuries and taking into consideration the physical requirements for each military occupational specialty will assist in determining the readiness of recovering soldiers to return to their full duties in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Publications By Country and By Typementioning

confidence: 99%

Functional rehabilitation criteria required for a safe return to active duty in military personnel following a musculoskeletal injury: a scoping review

Houghton

Maynard

Aiken

2016

Journal of Military, Veteran and Family Health

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“…One of the most utilised is that developed by Mubarak [16]: a fasciotomy of the anterior and lateral compartments via a 10cm incision. While newer techniques are mini-invasive either via an endoscopic or cutaneous mini-accesses [9][10][11][12][13][14][15][16][17]. These more modern approaches produce results similar to those of interventions using more ample accesses [18].…”

Section: Discussionmentioning

confidence: 99%

Chronic Compartment Syndrome of Lower Leg. An Unusual Case in Non Athletic Patient

Schiavone¹,

Bisaccia²,

Meccariello³

et al. 2016

IJSM

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Chronic exertional anterior compartment syndrome is debilitating disease of the lower limb. Limited symptomology characterises the clinical picture at rest, pain during sporting activities, tumefaction, and contractures of the limb as well impotency by the pain of the entire forefoot and hypoesthesia. Usually, the most affected patients are athletes. We analyse a case of chronic post-traumatic compartment syndrome of the anterior tibial muscle in an unsportsmanlike patient.

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“…21,22 Outros autores consideram uma boa resposta à fasciotomia como o padrão-ouro, embora, não raramente, existam casos de recidiva pós-cirúrgica, 23 especialmente na população militar. 24,25 A recidiva é maior quando os compartimentos anterior e lateral são acometidos concomitantemente, ou no caso de envolvimento do compartimento posterior profundo, quando comparado apenas ao compartimento anterior. 9 Além disso, outros métodos, como a RM pós-esforço e a espectroscopia de luz próxima ao infravermelho também são alternativas diagnósticas.…”

Section: Quadro Clínicounclassified

O papel da ressonância magnética no diagnóstico da síndrome compartimental crônica do exercício

Nico

Carneiro

Zorzenoni

et al. 2020

Rev Bras Ortop (Sao Paulo)

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ResumoA síndrome compartimental crônica é uma condição comum e frequentemente subdiagnosticada, induzida pelo exercício, que corresponde em média a um quarto dos casos de dor crônica na perna relacionada ao exercício, e que perde em frequência apenas para o espectro fratura/reação ao estresse tibial. Tradicionalmente ocorre em jovens atletas corredores, embora estudos mais recentes tenham demonstrado uma prevalência considerável em praticantes de atividade física de baixo rendimento, mesmo em pacientes de meia-idade ou idosos. A lista de diagnósticos diferenciais é extensa, e por vezes é difícil fazer a distinção apenas pelos dados clínicos, sendo necessários exames subsidiários.Classicamente, o diagnóstico é feito pelo quadro clínico, pela exclusão dos diferenciais, e pela medida pressórica intracompartimental. Embora a manometria por agulha seja considerada o padrão-ouro no diagnóstico, seu uso não é universalmente aceito, visto que existem algumas limitações importantes, além da disponibilidade restrita do equipamento com agulha no Brasil. Recentemente, novos protocolos de manometria têm sido propostos a fim suplantar a deficiência dos tradicionais, com algum deles inclusive recomendando o uso sistemático da ressonância magnética (RM) na exclusão dos diagnósticos diferenciais. O uso de sequências de RM sensíveis a líquido pós-esforço é uma ótima opção não invasiva à manometria por agulha no diagnóstico da síndrome compartimental crônica, uma vez que o aumento da intensidade de sinal pós-exercício é estatisticamente relevante quando comparados os valores pressóricos de manometria em pacientes com a síndrome e assintomáticos; portanto, o exame pode ser usado no critério diagnóstico. O tratamento definitivo é a fasciotomia, embora existam alternativas menos eficazes.

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Return to Duty After Elective Fasciotomy for Chronic Exertional Compartment Syndrome

Abstract: Level IV, case series.

Cited by 37 publications

References 18 publications

Functional rehabilitation criteria required for a safe return to active duty in military personnel following a musculoskeletal injury: a scoping review

Functional rehabilitation criteria required for a safe return to active duty in military personnel following a musculoskeletal injury: a scoping review

Chronic Compartment Syndrome of Lower Leg. An Unusual Case in Non Athletic Patient

O papel da ressonância magnética no diagnóstico da síndrome compartimental crônica do exercício

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