The diagnostic value of MRI scans for the diagnosis of chronic exertional compartment syndrome of the lower leg

Verleisdonk, E. J. M. M.; Gils, Ad van; Werken, Christiaan van der

doi:10.1007/s002560100361

Cited by 96 publications

(51 citation statements)

References 18 publications

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“…MRI suggestive of CECS may also demonstrate muscular swelling and edema, fascial thickening, and fatty infiltration of the muscle (Brennan and Kane 2003). MRI is more sensitive postexercise (Amendola et al 1990;Eskelin et al 1998;Brown and Rosenberg 2001;Verleisdonk et al 2001;Lauder et al 2002;van den Brand et al 2005). Chronic ischemia may cause fatty infiltration.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 95%

Compartment Syndromes of Thigh and Lower Leg

Biedert¹

2013

Sports Injuries

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Compartment syndromes of the leg are a common problem in sports traumatology. The condition can be caused by a direct trauma (acute compartment syndrome) or can be exercise induced (exertional compartment syndrome). In both conditions, tissue pressures within an osteofascial envelope are elevated to supraphysiologic levels, resulting in inadequate perfusion and ischemiarelated symptoms. Surgical release of the involved compartment envelope is the mainstay of treatment in acute and chronic complaints.

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Section: Magnetic Resonance Imagingmentioning

confidence: 95%

Compartment Syndromes of Thigh and Lower Leg

Biedert¹

2013

Sports Injuries

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“…In recent studies, MRI scans have been used to aid in the diagnosis of ECS. In a study performed by Verleisdonk et al [17], there was an increase in T2 signal intensity in the affected compartment during exercise. The primary diagnostic tool used in the diagnosis of ECS is compartmental pressure testing.…”

Section: Exertional Compartment Syndromementioning

confidence: 96%

Leg pain in runners

Key¹

2007

Current Opinion in Orthopaedics

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Purpose of reviewWith the increasing number of people running for exercise in our society, leg pain associated with running has increased in prevalence. Some of these sources of leg pain are anatomic structural abnormalities and some are caused by failure of anatomic structures. In this review, we will cover common causes of leg pain along with current thought on etiology, diagnostic tests and treatment algorithms. Recent findingsThe use of newer imaging such as magnetic resonance arteriograms and better resolution on MRI scans can aid in gaining information to make an accurate diagnosis. Recent studies have suggested that the etiology of medial tibial stress syndrome is not caused by inflammation of the periosteum. Specimens of periosteum taken from patients with the condition show no evidence of inflammatory cells. The diagnosis of exertional compartment syndrome can be difficult to diagnose. With the advent of better resolution via MRI, changes within the affected compartment on T2-weighted images can aid in the diagnosis. Summary A thorough history along with newer diagnostic tests can aid in early diagnosis and treatment intervention. By gathering all of the information together and listening to the patients, we can treat them better and allow them to enjoy their physical activity longer.Keywords chronic exertional compartment syndrome, medial tibial stress syndrome, peroneal nerve entrapment, popliteal artery entrapment syndrome, saphenous nerve entrapment and leg pain, stress fractures

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“…These patients might have shown some edema before fasciotomy. Functional MR imaging, as used for chronic exertional compartment syndromes [11][12][13][14], may be theoretically useful in cases with imminent compartment syndrome. But since all imminent compartment syndromes in our study had a traumatic origin, functional imaging could not be performed due to patient limitations.…”

Section: Mr Imagingmentioning

confidence: 99%

MR imaging of compartment syndrome of the lower leg: a case control study

Rominger

Lukosch²,

Bachmann

2004

Eur Radiol

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The aim of this study was to evaluate the use of MR imaging for diagnosis and therapy management of compartment syndromes. In total, 15 patients (5 with an imminent compartment syndrome and 10 with manifest compartment syndrome) underwent MR imaging with a variety of pulse sequences including fat suppression, magnetization transfer imaging, and intravenous gadopentetate dimeglumine (Gd-DTPA) administration. Early and late follow-up MR images were obtained. Manifest compartment syndromes showed swollen compartments with loss of normal muscle architecture on T1-weighted spin-echo images. T2-weighted spin-echo and magnetization transfer imaging showed bright areas, which enhanced after Gd-DTPA. Early follow-up showed changes in enhancement patterns; late follow-up showed fibrosis and cystic and fatty degenerations of the affected compartments. MR imaging can help make the diagnosis of a manifest compartment syndrome in clinically ambiguous cases. It points out the affected compartments and allows the surgeon to selectively split the fascial spaces.

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The diagnostic value of MRI scans for the diagnosis of chronic exertional compartment syndrome of the lower leg

Cited by 96 publications

References 18 publications

Compartment Syndromes of Thigh and Lower Leg

Compartment Syndromes of Thigh and Lower Leg

Leg pain in runners

MR imaging of compartment syndrome of the lower leg: a case control study

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