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Compartment syndromes in athletes.

K P Black1, T K Schultz, N L Cheung

  • 1Medical College of Wisconsin, Milwaukee.

Clinics in Sports Medicine
|April 1, 1990
PubMed
Summary

Compartment syndrome, a condition affecting muscular compartments like the leg and forearm, presents in acute and chronic forms. Prompt diagnosis and treatment, including fascial release for acute cases, ensure good outcomes and return to athletics.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Human Anatomy

Background:

  • Compartment syndromes frequently affect the leg in athletes but can occur in other muscular areas like the forearm.
  • Both acute and chronic forms arise from similar inciting events, leading to distinct clinical presentations.

Purpose of the Study:

  • To outline the diagnosis and management of acute and chronic compartment syndromes.
  • To emphasize the importance of understanding anatomy and pathophysiology for accurate diagnosis.

Main Methods:

  • Direct measurement of compartment pressures.
  • Clinical assessment based on anatomical and pathophysiological understanding.

Main Results:

  • Accurate diagnosis is achievable with pressure measurement and clinical evaluation.
  • Acute compartment syndrome necessitates immediate surgical fascial release to prevent muscle and nerve damage.

Conclusions:

  • Surgical treatment for chronic compartment syndrome is highly effective.
  • Early return to athletic activities is typically possible following treatment for chronic compartment syndrome.

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