Chronic anterior-compartment syndrome of the leg. Results of treatment by fasciotomy.

Chronic compartment syndrome also affects nonathletic subjects: A prospective study of 63 cases with exercise-induced lower leg pain

“…The patients with CECS usually reported "strong" or "very strong pain" (5 or 7 on the 10-point Borg scale) in the lower leg(s) (compartments) and/or rated exertion as "very heavy" (17 on the 20-point Borg scale) at the end of the test (Borg 1973). Intramuscular pressure was monitored using continuous microcapillary infusion technique with isotonic saline infusion at a rate of 1.5 uL/h, (Styf and Körner 1986) via a catheter (Myopress; Athos Medical, Höör, Sweden) which was connected to a pressure transducer (PMSET 2DT-XO 2TBG; Becton Dickinson, Singapore) and a multichannel ink recorder (Mingograph 7; Siemens Elema, Sweden). An ordinary Teflon cannula was first inserted into the muscle belly with the patient in supine position.…”

Operative Dekompression des Nervus peroneus superficialis

“…Even though this entrapment syndrome is relatively rare, its incidence is probably higher than suggested in the literature [23,27].…”

“…[10]. Auch wenn dieses Kompressionssyndrom relativ selten auftritt, kommt es wahrscheinlich häu-figer vor als in der Literatur angenommen [23,27].…”

“…Unabhängig von der Ursache wird die Kompression durch chronische mechanische Irritation des Nervs dort verursacht, wo er aus dem anterolateralen Kompartment durch die tiefe Faszie heraustritt ("funktionelle Nervenschädi-gung" [5]). Daher schreiten die Symptome über einen langen Zeitraum fort, bis eine korrekte Diagnose (Durchschnittsdauer 18-24 Monate) gestellt wird [27,28]. Da der Schmerz den Symptomen einer Lumboischialgie ähnelt (auch wenn sich keine Zeichen für eine Ursache im Rücken fanden), wurden manchmal falsche Diagnosen gestellt und sogar unnötigerweise…”

“…Whatever the cause, entrapment is caused by a chronic mechanical irritation of the nerve where it emerges from the anterolateral compartment through the deep fascia ("functional nerve disorders" [5]). Therefore, the symptoms progress slowly over a long period before a correct diagnosis (mean duration 18-24 months) is made [27,28]. Due to the pain similar to sciatica (even though the signs did not indicate an origin in the back), sometimes it has led to diagnostic errors and even unnecessary diskectomy [3,17].…”