Related Experiment Video
Updated: May 3, 2026

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
The natural course of chronic exertional compartment syndrome of the lower leg
W A Van der Wal1, P J C Heesterbeek, J G H Van den Brand
1Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands, wybrenvanderwal@gmail.com.
Purpose:
The aim of this study was to investigate the natural course of chronic exertional compartment syndrome (CECS) in the lower leg.
Methods:
Twelve military men [mean age 30 (SD 4)] diagnosed with CECS after intracompartmental pressure (ICP) measurements immediately post-exercise in 21 legs, who did not undergo a fasciotomy, were reviewed and participated in a repeat pressure measurement after a mean time of 50 months (SD 15).
Results:
Sixteen of 21 legs still showed an ICP of 35 mm Hg or more (the cut-off point) at the second visit. All twelve patients still had typical complaints. Mean ICP at index measurement was 58 (SD 15) mm Hg. At the second visit, it was 51 (SD 15) mm Hg. Six patients chose to undergo a subcutaneous fasciotomy, and these six patients all benefited in the short term.
Conclusion:
The natural course of CECS seems to be persistent symptoms over time.
Level Of Evidence:
Case series with no comparative group, Level IV.
More Related Videos
Related Concept Videos
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Peripheral Artery Disease I: Introduction
Varicose Veins I: Introduction
Peripheral Artery Disease V: Postoperative Nursing Management
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Peripheral Artery Disease IV: Nursing Management

