Characteristics of Patients With Chronic Exertional Compartment Syndrome

Davis, Daniel E.; Raikin, Steven M.; Garras, David N.; Vitanzo, Peter C.; Labrador, Hallie; Espandar, Ramin

doi:10.1177/1071100713490919

Cited by 65 publications

(103 citation statements)

References 28 publications

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“…Chronic exertional compartment syndrome is characterized by exertional pain, which usually affects the myofascial compartments of the leg 1 , 2 . Davis et al 3 recently defined a characteristic profile for these patients: young individuals, 24 years of age on average, with women (60%) being affected more often than men. Affected individuals present with exertional pain that is produced or intensified by physical activity and is relieved by rest 4 .…”

mentioning

confidence: 99%

“…Chronic exertional compartment syndrome is thought to be caused by increased tissue pressure within the fascial compartment, but the exact pathophysiologic mechanism is not well understood. Transient ischemia related to impaired blood flow in the affected compartment has been implicated 1 , 3 . This process produces swelling, which is thought to increase intracompartmental pressure 5 .…”

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confidence: 99%

“…This process produces swelling, which is thought to increase intracompartmental pressure 5 . Chronic exertional compartment syndrome affects the anterior or lateral compartment, with anterior compartment involvement being most common 1 , 3 . Focal muscle herniations through a defect in the fascial compartment wall, which may or may not be symptomatic, have been noted in anywhere from 15% to 50% of patients undergoing surgery for chronic exertional compartment syndrome despite normal preoperative examination findings for these herniations 6 .…”

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confidence: 99%

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Ultrasound‐Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg

Balius

Bong²,

Ardèvol

et al. 2016

J of Ultrasound Medicine

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Chronic exertional compartment syndrome is characterized by exertional pain and elevated intracompartmental pressures affecting the leg in physically active young people. In patients who have failed conservative measures, fasciotomy is the treatment of choice. This study presents a new method for performing fasciotomy using high-resolution ultrasound (US) guidance and reports on the clinical outcomes in a group of these patients. Over a 3-year period, 7 consecutive patients with a total of 9 involved legs presented clinically with anterior compartment chronic exertional compartment syndrome, which was confirmed by intracompartmental pressure measurements before and after exercise. After a US examination, fasciotomy under US guidance was performed. Preoperative and postoperative pain and activity levels were assessed as well as number of days needed to “return to play.” All patients had a decrease in pain, and all except 1 returned to presymptomatic exercise levels with a median return to play of 35 days.

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confidence: 99%

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Ultrasound‐Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg

Balius

Bong²,

Ardèvol

et al. 2016

J of Ultrasound Medicine

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show abstract

“…Page 5 of 12 30 Despite the availability of these techniques, the duration of pain prior to achieving a diagnosis averages over 2 years [30]. 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].…”

Section: Chronic Exertional Compartment Syndromementioning

confidence: 99%

“…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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Musculoskeletal mimics of lumbosacral radiculopathy

Bateman,

Fortin,

Guo

2024

Muscle and Nerve

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Electrodiagnostic evaluations are commonly requested for patients with suspected radiculopathy. Understanding lower extremity musculoskeletal conditions is essential for electrodiagnostic medicine specialists, as musculoskeletal disorders often mimic or coexist with radiculopathy. This review delineates radicular pain from other types originating from the lumbosacral spine and describes musculoskeletal conditions frequently mimicking radiculopathy, such as those that cause radiating pain and sensorimotor dysfunction. In clinical evaluation, a history of pain radiating along a specific dermatomal territory with associated sensory disturbance suggests radiculopathy. Physical examination findings consistent with radiculopathy include myotomal weakness, depressed or absent muscle stretch reflexes, focal atrophy along a discrete nerve root territory, and potentially positive dural tension maneuvers like the straight leg raise. However, electrodiagnostic medicine specialists must be knowledgeable of musculoskeletal mimics, which may manifest as incomplete radiation within or beyond a dermatomal territory, non‐radiating pain, tenderness, and give‐way weakness, in the context of a normal neurological examination. A systematic approach to musculoskeletal examination is vital, and this review focuses on high‐yield physical examination maneuvers and diagnostic investigations to differentiate between musculoskeletal conditions and radiculopathy. This approach ensures accurate diagnoses, promotes resource stewardship, enhances patient satisfaction, and optimizes care delivery. Musculoskeletal conditions resembling L1 to S4 radiculopathy are reviewed, emphasizing their distinctive features in history, physical examination, and diagnostic investigation. Among the more than 30 musculoskeletal disorders reviewed are hip and knee osteoarthritis, lumbar facet syndrome, myofascial pain syndrome, greater trochanteric pain syndrome, and plantar fasciitis.

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Characteristics of Patients With Chronic Exertional Compartment Syndrome

Abstract: Level III, retrospective review.

Cited by 65 publications

References 28 publications

Ultrasound‐Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg

Ultrasound‐Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg

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

Musculoskeletal mimics of lumbosacral radiculopathy

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