Surgical Treatment for Chronic Lower-Leg Compartment Syndrome in                     Young Female Athletes

Micheli, Lyle J.; Solomon, Ruth; Solomon, John M.; Plasschaert, Véronique F. P.; Mitchell, Robert J.

doi:10.1177/03635465990270021401

Cited by 62 publications

(59 citation statements)

References 23 publications

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“…A larger study of 78 female patients noted satisfactory results in 76%. 15 Complications include postoperative hematoma, wound infection and healing issues, nerve injury, and recurrence. Poor outcomes can typically be traced to one of several causes, including an inadequate release, neurovascular injury, muscular injury, incomplete rehabilitation, or incorrect preoperative diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome

Knight

Daniels

Robertson

2013

Arthroscopy Techniques

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Exertional compartment syndrome of the leg is a condition that can cause chronic debilitating pain in active persons during a variety of aerobic activities. Nonoperative treatments using stretching protocols and activity modifications are often unsuccessful, and thus several operative strategies have been used to treat this condition. A novel technique for endoscopically assisted fasciotomy for chronic exertional compartment syndrome is described. By use of a small laterally based incision and an arthroscope, polydioxanone sutures are passed percutaneously along the anterior and lateral compartments with the Spectrum suture-shuttling device (ConMed Linvatec, Largo, FL). These sutures are used to retract the skin and subcutaneous tissues over the respective compartments. This method allows excellent visualization of the intercompartmental septum, the superficial peroneal nerve, and all perforating vessels. The anterior and lateral compartments can be safely and completely released with this minimally invasive approach. The patient is allowed to return to full activity at 6 weeks postoperatively, because of the decreased soft-tissue disruption.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome

Knight

Daniels

Robertson

2013

Arthroscopy Techniques

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“…47 Conditions such as spondylolysis, patellofemoral pain syndrome, chronic exertional compartment syndrome, and injury to the anterior cruciate ligament occur more frequently in females as compared to males. 19,32,38,51,59 Conditions such as idiopathic scoliosis, systemic hypermobility, and an increased Q-angle at the knee are all more prevalent in girls as compared to boys and may predispose the female athlete to injury. 47 The research on the Triad has been focused primarily on collegeage or elite female athlete populations.…”

Section: T T Conclusionmentioning

confidence: 99%

Associations Between Disordered Eating, Menstrual Dysfunction, and Musculoskeletal Injury Among High School Athletes

Thein-Nissenbaum¹,

Rauh²,

Carr³

et al. 2011

J Orthop Sports Phys Ther

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“…We observed a high degree of symmetry in the major landmarks of the course of the nerve. This is important as many patients with CECS are affected in both legs and require bilateral fasciotomies [16,17]. These data should help the surgeon locate the nerve with a high degree of reliability.…”

Section: Discussionmentioning

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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Surgical Treatment for Chronic Lower-Leg Compartment Syndrome in Young Female Athletes

Cited by 62 publications

References 23 publications

Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome

Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome

Associations Between Disordered Eating, Menstrual Dysfunction, and Musculoskeletal Injury Among High School Athletes

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

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