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Related Experiment Videos

Chronic exertional compartment syndrome.

Michael J Fraipont1, Gregory J Adamson

  • 1Department of Orthopaedic Surgery, University of Southern California, Pasadena, CA 91105, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|August 2, 2003
PubMed
Summary

Chronic exertional compartment syndrome (CECS) is a rare cause of extremity pain in active individuals. Diagnosis requires pressure testing, and treatment often involves surgery (fasciotomy) for symptom relief and return to activity.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physiology

Background:

  • Chronic exertional compartment syndrome (CECS) is an uncommon condition causing extremity pain during repetitive physical activity.
  • It is often overlooked, making diagnosis challenging.

Purpose of the Study:

  • To outline the diagnostic methods for CECS.
  • To discuss treatment options and patient outcomes for CECS.

Main Methods:

  • Diagnosis relies on a comprehensive patient history, physical examination, and compartment pressure testing.
  • Compartment pressure measurements, including resting and post-exercise values, are crucial.

Main Results:

  • Conservative, non-surgical treatments are generally ineffective unless activity cessation is complete.

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  • Surgical intervention, specifically fasciotomy of affected compartments, is typically required.

    • Conclusions:

    • Accurate compartment pressure measurements and careful surgical technique are vital for successful outcomes.
    • Patients undergoing fasciotomy for CECS usually achieve satisfactory results and can resume their physical activities.