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Updated: Nov 29, 2025
04:34
A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
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[RARE COMPARTMENT SYNDROME AFTER PHYSICAL ACTIVITY].
Louis Schorr1,2, Raphael Lotan1, Zeev Feldbrin1,3
1Department of Orthopedic Surgery, E. Wolfson Medical Center, Holon Affiliated to the Sackler Faculty of Medicine, Tel Aviv University.
Harefuah
|November 19, 2020
Summary
A rare case of exertional compartment syndrome in a teenage girl
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Surgery
Background:
- Exertional compartment syndrome (ECS) is uncommon in the foot, especially in pediatric patients.
- A 16-year-old female presented with exertional foot pain unresponsive to conservative management.
- MRI revealed a partial abductor hallucis tear and compartment edema.
Purpose of the Study:
- To report a rare case of exertional compartment syndrome in the foot.
- To highlight diagnostic challenges and effective treatment in pediatric patients.
Main Methods:
- Clinical presentation and MRI findings were analyzed.
- Intracompartmental pressure measurement was performed.
- Surgical fasciotomy was conducted.
Main Results:
- Compartmental pressure was significantly elevated (130 mm/Hg) compared to the contralateral foot (10 mm/Hg).
- Fasciotomy provided immediate pain relief and eliminated the need for analgesics post-surgery.
Conclusions:
- Muscle tears can uncommonly cause exertional compartment syndrome in the foot.
- Prompt diagnosis and surgical intervention (fasciotomy) are crucial for favorable outcomes in pediatric exertional compartment syndrome.
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