Exertional compartment syndromes of the lower extremity

Schepsis, Anthony A.; Lynch, G

doi:10.1097/00002281-199603000-00009

Cited by 17 publications

(7 citation statements)

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“…The differential diagnosis includes stress fracture, stress reaction, periostitis, peripheral nerve entrapment syndromes, claudication from popliteal artery entrapment, and medial tibial syndrome (the last two usually with deep posterior compartment syndrome). 16 The diagnosis of anterior compartment syndrome can usually be suspected by the patient's history, but the clinical physical examination at rest is not sufficient in making the diagnosis. The measurement of compartment pressures before and after exercise is extremely reliable as a basis for the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Fasciotomy for Exertional Anterior Compartment Syndrome: Is Lateral Compartment Release Necessary?

1999

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The standard surgery for exertional anterior compartment syndrome is fasciotomy of the anterior and lateral compartments of the leg. We prospectively studied the necessity of lateral compartment release, which can add morbidity and extend recovery. We performed 30 anterior compartment releases in 20 patients (10 bilateral operations) with exertional anterior compartment syndrome but not lateral compartment involvement. We alternately performed only an anterior compartment release or both anterior and lateral compartment releases on 10 patients. The 10 patients who underwent bilateral surgery each had, during the same surgery, an anterior and lateral compartment release on one leg and only an anterior compartment release on the other. All were athletes involved in running sports. Overall, satisfactory outcomes were seen in 90% of the limbs--93% (14 of 15) that had anterior compartment release and 87% (13 of 15) that had release of both compartments (no statistically significant difference). For the patients who had unilateral surgery, the average time for full return to sports was 8.1 weeks after anterior release only and 11.4 weeks after release of both compartments, a statistically significant difference. The average time for full return to sports after bilateral surgery was 12.1 weeks. Among these patients, seven said that the leg with only anterior release seemed to recover faster. We concluded that when doing a fasciotomy for exertional anterior compartment syndrome alone, a lateral compartment release is not necessary.

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Section: Discussionmentioning

confidence: 99%

Fasciotomy for Exertional Anterior Compartment Syndrome: Is Lateral Compartment Release Necessary?

1999

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“…8,9,12,14,15,17 These studies also report that when failures did occur, they were primarily with fasciotomy of the posterior compartments, particularly the deep compartment. 8,9,14,16 However, none of these studies can directly be applied to a military population with persistent physical demands and minimal allowance for activity modification. There are 2 single case series in the literature regarding CECS in military populations; while the results were promising, one is a small series without long-term follow-up, and the other made no reference to return to duty rate.…”

Section: (Original) Clinical Research Articlementioning

confidence: 99%

Return to Duty After Elective Fasciotomy for Chronic Exertional Compartment Syndrome

et al. 2014

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“…Classically, the tibialis anterior herniates through a defect in the fascia of the anterior compartment. 62 The formal diagnosis of CECS is based on the reproduction of symptoms with typical activity, in combination with the demonstration of elevated intracompartmental pressures (ICP) post-exercise. Using a standard digital fluid pressure monitor, ICP should be measured at rest, with the patient in a supine position, with knee extended and limb in neutral dorsiflexion.…”

Section: Chronic Exertional Compartment Syndromementioning

confidence: 99%

Vascular disorders in athletes

Perlowski

Jaff

2010

Vasc Med

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Athletes rarely present with symptoms or clinical findings suggestive of vascular disease. However, vascular etiologies should be considered when an athlete complains of persistent symptoms which are refractory to conservative therapies commonly used for presumed musculoskeletal injuries. A comprehensive history should be performed, with special consideration to the postures the athlete assumes repeatedly during their chosen sport. Musculoskeletal anatomy surrounding the vascular bed of interest should be thoroughly reviewed. Physical examination should include provocative maneuvers specific to the suspected vascular disorder. The proper use of noninvasive diagnostic studies, including duplex ultrasonography, computerized tomography (CT), and magnetic resonance imaging (MRI), along with catheter-based angiography, when indicated, can ensure prompt diagnosis. Appropriate, multifaceted treatment of an athlete affected by a vascular disorder can facilitate an expeditious return to previous levels of activity.

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Exertional compartment syndromes of the lower extremity

Cited by 17 publications

References 0 publications

Fasciotomy for Exertional Anterior Compartment Syndrome: Is Lateral Compartment Release Necessary?

Fasciotomy for Exertional Anterior Compartment Syndrome: Is Lateral Compartment Release Necessary?

Return to Duty After Elective Fasciotomy for Chronic Exertional Compartment Syndrome

Vascular disorders in athletes

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