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[Chronic anterior tibial syndrome]
J Steurer1, K Läderach, J Largiadèr
1Departement für Innere Medizin, Universitätsspital Zürich.
VASA. Zeitschrift Fur Gefasskrankheiten
|January 1, 1993
Summary
Chronic tibialis anterior syndrome in athletes causes calf pain during exercise. Diagnosis involves intramuscular pressure measurements, and fasciotomy offers pain relief.
Area of Science:
- Sports Medicine
- Orthopedics
- Physiology
Background:
- Chronic tibialis anterior syndrome is a condition causing pain in the lower leg.
- Differentiating it from peripheral arterial disease is crucial for proper treatment.
Observation:
- Two young athletic men presented with anterolateral calf pain during strenuous exercise.
- Pain resolved within 15-20 minutes post-exercise, unlike the rapid resolution in arterial occlusive disease.
Findings:
- Diagnosis was confirmed by elevated resting and post-exercise intramuscular pressure (42 and 35 mmHg).
- Standard clinical examinations and Doppler-derived systolic ankle pressure were normal.
Implications:
- This case highlights the importance of intramuscular pressure testing for diagnosing chronic tibialis anterior syndrome.
- Surgical intervention, such as bilateral fasciotomy, effectively resolved symptoms in these patients.