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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Chronic compartment syndrome: diagnosis and management
1University Hospital, Department of Orthopaedic Surgery, Universitair Ziekenhuis, Pellenberg, Belgium.
Acta Orthopaedica Belgica
|January 1, 1992
Summary
Young athletes like runners, cyclists, and soccer players can develop chronic compartment syndrome, causing leg pain during exercise. Diagnosis involves pressure measurements, and surgery can provide relief.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Physiology
Background:
- Chronic compartment syndrome (CCS) affects young athletes, particularly those in high-impact sports like running, cycling, and soccer.
- Symptoms often manifest after years of athletic activity and are exacerbated by increased training intensity or frequency.
- Specific sports correlate with distinct compartment involvement: anterior CCS in runners and deep posterior CCS in cyclists and soccer players.
Purpose of the Study:
- To describe the characteristics and presentation of chronic compartment syndrome in young athletes.
- To highlight the diagnostic utility of compartmental tissue-pressure measurements.
- To outline the surgical management and expected outcomes for CCS.
Main Methods:
- Clinical history assessment focusing on exertional leg pain and weakness.
- Compartmental tissue-pressure measurements to quantify pressure and identify affected compartments.
- Surgical evaluation and fascial release procedures.
Main Results:
- Cramp-like pain and weakness during exertion are the primary complaints.
- Tissue-pressure measurements are crucial for diagnosing CCS severity and localization.
- Fascial release surgery, guided by clinical and pressure data, leads to satisfactory outcomes.
Conclusions:
- Chronic compartment syndrome is a significant concern for young athletes in sports like running, cycling, and soccer.
- Accurate diagnosis relies on a combination of clinical presentation and objective pressure measurements.
- Surgical intervention through fascial release is an effective treatment for chronic compartment syndrome.
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