Fasciotomy for Chronic Exertional Compartment Syndrome of the Deep Posterior Lower Leg Compartment: A Prospective Study.

Autor:	van den Heuvel-Weiss C; Department of Surgery, Máxima MC, Veldhoven, The Netherlands.; Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; and., Goossens S; Department of Surgery, Máxima MC, Veldhoven, The Netherlands., Janssen L; Department of Surgery, Máxima MC, Veldhoven, The Netherlands., van Eerten P; Department of Surgery, Máxima MC, Veldhoven, The Netherlands., de Bie R; Department of Epidemiology, Caphri Care and Public Health Institute, Maastricht University, Maastricht, The Netherlands., Scheltinga M; Department of Surgery, Máxima MC, Veldhoven, The Netherlands.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2024 Nov 22. Date of Electronic Publication: 2024 Nov 22.
DOI:	10.1097/JSM.0000000000001298
Abstrakt:	Objective: Patients with lower leg deep posterior chronic exertional compartment syndrome (dp-CECS) experience exercise-induced calf pain and tightness. Retrospective studies suggest that outcome after a fasciotomy is suboptimal. This prospective case series determined success rates of a fasciotomy and identified factors predicting outcome. Design: Severity and intensity of pain and tightness were scored at baseline (BL) and 3 and 12 months postoperatively (follow-up [FU]3, FU12). Outcome measures were symptoms, return to sports, and patient-reported success. Patients: Data of patients with dp-CECS (n = 74, 51% males, age 28 ± 12 years) operated between 2013 and 2022 in a single center were analyzed. Results: Pain scores during rest and during exercise were greatly attenuated (rest BL: 8 ± 1, FU3: 4 ± 1, FU12: 3 ± 0; exercise BL: 20 ± 1, FU3: 8 ± 1, FU12: 8 ± 1; both P < 0.001). At FU3, rates of success and return to sports were 56% and 63%, respectively. At FU12, success was maintained in 48% and 80% had returned to sports. Length of symptom duration and not opening the flexor hallucis compartment were related to a lower chance of return to sports (P < 0.05). Conclusions: Outcome after a fasciotomy for lower leg dp-CECS is successful in approximately half of patients. Long duration of symptoms and not opening the flexor hallucis compartment are risk factors for failure. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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