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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
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Recurrent Anterior Compartmental Syndromes
The Physician and Sportsmedicine
|July 17, 2016
Summary
Vigorous exercise can increase pressure within muscle compartments, potentially hindering blood flow. For athletes experiencing recurrent exertional compartment syndrome, treatment may involve modifying exercise routines or, in severe cases, surgical decompression.
Area of Science:
- Sports Medicine
- Physiology
- Orthopedic Surgery
Background:
- Exertional compartment syndrome (ECS) is a condition characterized by increased intramuscular pressure during physical activity.
- Vigorous exercise can lead to elevated compartmental pressures, potentially impairing muscle blood flow and causing symptoms.
Purpose of the Study:
- To summarize the relationship between vigorous exercise, compartmental pressure, and blood flow.
- To outline treatment options for recurrent exertional compartment syndrome in athletes.
Main Methods:
- Review of physiological responses to strenuous physical activity.
- Analysis of clinical presentations and management strategies for exertional compartment syndrome.
Main Results:
- High-intensity exercise can elevate intramuscular pressure to levels that compromise vascular perfusion.
- Non-surgical management, including exercise modification, may be effective for some athletes.
- Persistent or severe cases often necessitate surgical fasciotomy for decompression.
Conclusions:
- Compromised blood flow due to exercise-induced compartmental hypertension is a significant concern for athletes.
- Treatment decisions for recurrent exertional compartment syndrome should be individualized, considering exercise modification and surgical intervention.
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