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Updated: Aug 30, 2025
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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
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Chronic Exertional Compartment Syndrome in a Fire Captain
Radhika Thakkar1, Sydney Tran1, Monica Gillie2
1Orthopedic Surgery, St. George's University, School of Medicine, St. George, GRD.
Cureus
|August 31, 2022
Summary
Chronic exertional compartment syndrome (CECS) is often missed but treatable. Surgical fasciotomy effectively resolved symptoms in a 53-year-old male, highlighting its utility across demographics.
Area of Science:
- Orthopedics
- Sports Medicine
- Vascular Surgery
Background:
- Chronic exertional compartment syndrome (CECS) involves increased intramuscular pressure, impairing tissue perfusion and function.
- While common in young females, CECS can affect any demographic, including older males.
Observation:
- A 53-year-old male fire captain presented with exertional leg pain and neurological deficits.
- Symptoms in the anterior compartment of bilateral legs significantly impacted his work and daily life.
Findings:
- The patient underwent fasciotomy, a surgical procedure to relieve pressure.
- Post-surgery, he experienced complete resolution of pain and neurological deficits, enabling a return to work.
Implications:
- This case underscores that CECS should not be excluded based on age or sex.
- Fasciotomy is an effective treatment for CECS, restoring function and quality of life.
- Further literature review on CECS prevalence, diagnosis, and management is warranted.
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