Systematic Review of Innovative Diagnostic Tests for Chronic Exertional Compartment Syndrome.

Autor:	Ritchie ED; Department of Surgery, Alrijne Hospital Location Leiderdorp, Leiderdorp, Netherlands., Vogels S; Department of Surgery, Alrijne Hospital Location Leiderdorp, Leiderdorp, Netherlands.; Department of Trauma Surgery, Erasmus Medical Center, Rotterdam, Netherlands., van Dongen TTCF; Department of Surgery, Alrijne Hospital Location Leiderdorp, Leiderdorp, Netherlands.; Defence Healthcare Organization, Ministry of Defense, Utrecht, Netherlands., van der Burg BLSB; Department of Surgery, Alrijne Hospital Location Leiderdorp, Leiderdorp, Netherlands., Scheltinga MRM; Department of Surgery, Máxima Medical Centre, Veldhoven, Netherlands., Zimmermann WO; Department of Sports Medicine, Royal Netherlands Army, Utrecht, Netherlands.; Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, United States., Hoencamp R; Department of Surgery, Alrijne Hospital Location Leiderdorp, Leiderdorp, Netherlands.; Defence Healthcare Organization, Ministry of Defense, Utrecht, Netherlands.; Department of Surgery, Leiden University Medical Center, Leiden, Netherlands.; Trauma Research Unit, Department of Trauma Surgery, Erasmus Medical Center, Rotterdam, Netherlands.
Jazyk:	angličtina
Zdroj:	International journal of sports medicine [Int J Sports Med] 2023 Jan; Vol. 44 (1), pp. 20-28. Date of Electronic Publication: 2022 Jun 01.
DOI:	10.1055/a-1866-5957
Abstrakt:	The diagnosis chronic exertional compartment syndrome is traditionally linked to elevated intracompartmental pressures, although uncertainty regarding this diagnostic instrument is increasing. The aim of current review was to evaluate literature for alternative diagnostic tests. A search in line with PRISMA criteria was conducted. Studies evaluating diagnostic tests for chronic exertional compartment syndrome other than intracompartmental pressure measurements were included. Bias and quality of studies were evaluated using the Oxford Levels of Evidence and the QUADAS-2 instrument. A total of 28 studies met study criteria (MRI n=8, SPECT n=6, NIRS n=4, MRI and NIRS together n=1, miscellaneous modalities n=9). Promising results were reported for MRI (n=4), NIRS (n=4) and SPECT (n=3). These imaging techniques rely on detecting changes of signal intensity in manually selected regions of interest in the muscle compartments of the leg. Yet, diagnostic tools and protocols were diverse. Moreover, five studies explored alternative modalities serving as an adjunct, rather than replacing pressure measurements. Future research is warranted as clinical and methodological heterogeneity were present and high quality validation studies were absent. Further optimization of specific key criteria based on a patient's history, physical examination and symptom provocation may potentially render intracompartmental pressure measurement redundant. Competing Interests: The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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