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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
04:34

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg

Published on: May 31, 2019

Chronic exertional compartment syndrome.

Christopher A George1, Mark R Hutchinson

  • 1Department of Orthopaedic Surgery, University of Illinois Hospital at Chicago, 835 South Wolcott Avenue, M/C 844, Chicago, IL 60612, USA.

Clinics in Sports Medicine
|February 21, 2012
PubMed
Summary

Chronic exertional compartment syndrome (CECS) causes activity-related leg pain in athletes. Diagnosis involves history, physical exam, and pressure measurements, with surgery offering excellent outcomes for athletes to return to activity.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Chronic exertional compartment syndrome (CECS) is a frequent yet underdiagnosed cause of leg pain in athletes.
  • Symptoms include recurrent, activity-induced pain relieved by rest.

Purpose of the Study:

  • To highlight the diagnostic process for CECS.
  • To emphasize the effectiveness of surgical intervention for CECS.

Main Methods:

  • Diagnosis relies on a thorough patient history and physical examination.
  • Confirmation involves measuring compartment pressures before and after exercise.
  • Surgical treatment includes fasciotomy of all affected compartments and fascial defects.

Main Results:

  • Surgical treatment (fasciotomy) leads to successful return to full activity levels for most athletes.
  • Addressing all involved compartments and fascial defects is crucial to prevent symptom recurrence.

Conclusions:

  • Accurate diagnosis and comprehensive surgical treatment of CECS yield excellent outcomes.
  • Athletes can achieve full, unrestricted activity post-treatment.