Bilateral Lower-Leg Chronic Exertional Compartment Syndrome Treated With In-Office Needle Endoscopic 4-Compartment...

Chronic exertional compartment syndrome (CECS) is a condition which involves sudden and painful increases in pressure of the musculofascial compartments of the lower leg in association with increased physical activity. A variety of surgical options, including endoscopic fasciotomy, exist to mechanically decompress the fascia. Recent progress in in-office needle endoscopy has shown potential for the diagnosis and treatment of various orthopaedic pathologies. We present the case of a 20-year-old collegiate sprinter with a 3-month history of CECS that was treated with bilateral in-office needle endoscopic 4 compartment fasciotomy. The patient was able to return to his previous level of competition 8 weeks postoperatively, and there were no complications. To the authors' knowledge, this is the first report of an in-office endoscopic 4-compartment fasciotomy for the management of CECS.Levels of Evidence: V, case report.