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[Chronic venous compartment syndrome].

W Hach1

  • 1Institut für Gefässmedizin, Frankfurt/M. Hach.Frankfurt@t-online.de

Zentralblatt Fur Chirurgie
|July 12, 2001
PubMed
Summary
This summary is machine-generated.

Compartment syndrome, a condition of increased pressure within a muscle compartment, can be acute or chronic. A newly identified chronic venous compartment syndrome differs significantly from chronic exertional compartment syndrome.

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Area of Science:

  • Orthopedics
  • Vascular Surgery
  • Sports Medicine

Background:

  • Compartment syndrome involves increased intracompartmental pressure, leading to micro-circulation compromise and tissue destruction.
  • Acute compartment syndrome arises from volume discrepancies, while chronic compartment syndrome was historically observed in athletes and soldiers, primarily affecting the anterior compartment.
  • A distinct chronic venous compartment syndrome associated with severe venous diseases has been identified.

Purpose of the Study:

  • To distinguish between various forms of compartment syndrome.
  • To define the clinical characteristics of chronic venous compartment syndrome.
  • To differentiate chronic venous compartment syndrome from chronic exertional compartment syndrome.

Main Methods:

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  • Review of existing literature and clinical observations.
  • Identification of pathological changes in chronic venous compartment syndrome.
  • Proposal for standardized intracompartmental pressure measurements under dynamic conditions.

    • Main Results:

    • Chronic venous compartment syndrome results from cicatricial destruction of the crural fascia, impacting intracompartmental pressure during ambulation.
    • Severe cases manifest as significant muscle alterations, including chronic ischemia, necrosis, and glycogen deficiency.
    • A clear distinction between chronic exertional compartment syndrome and chronic venous compartment syndrome is proposed.

    Conclusions:

    • Chronic venous compartment syndrome represents a distinct clinical entity, fundamentally different from previously described forms.
    • Further research, including dynamic pressure measurements, is essential for precise definition and diagnosis.
    • Verbal differentiation between chronic exertional compartment syndrome and chronic venous compartment syndrome is recommended for clarity.