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[Chronic exertional compartment syndrome (CECS)].

Jean-Luc Ziltener1, Jacques Ménétrey

  • 1Clinique et policlinique de chirurgie orthopédique et de traumatologie de l'appareil moteur, Hôpitaux Universitaires de Genève.

Revue Medicale De La Suisse Romande
|April 21, 2004
PubMed
Summary

Chronic exertional compartment syndrome (CECS) is a leg muscle dysfunction caused by increased intramuscular pressure during exercise. Diagnosis requires measuring compartment pressure, especially during recovery, to confirm the condition.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Physiology

Context:

  • Chronic exertional compartment syndrome (CECS) is a common cause of leg pain during physical activity.
  • The condition involves increased intramuscular pressure within specific muscle compartments of the leg.
  • Accurate diagnosis is crucial due to often non-specific clinical presentations.

Purpose:

  • To detail the clinical presentation and diagnostic criteria for CECS.
  • To explain the physiopathological mechanisms underlying CECS.
  • To highlight the importance of intramuscular pressure measurement in diagnosing CECS.

Summary:

  • CECS is defined as impaired muscle function due to elevated intramuscular pressure during exercise, most commonly affecting the leg.
  • Diagnostic confirmation relies heavily on objective measurements of intramuscular pressures at rest, during exertion, and critically, during recovery.

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  • Understanding the underlying physiopathological mechanisms is key to managing this condition.

    • Impact:

    • Provides a comprehensive overview of CECS for clinicians and researchers.
    • Emphasizes the diagnostic utility of intramuscular pressure monitoring.
    • Contributes to the understanding and management of exercise-induced leg pain.