Factors Predicting Lower Leg Chronic Exertional Compartment Syndrome in a Large Population

Autor: Aniek P. M. van Zantvoort, Michiel B. Winkes, Johan A. de Bruijn, Adwin R. Hoogeveen, David van Klaveren, Marike van der Cruijsen-Raaijmakers, Marc R. Scheltinga, Joep A.W. Teijink
Přispěvatelé: Public Health, RS: CAPHRI - R5 - Optimising Patient Care, Epidemiologie
Rok vydání: 2017
Předmět:
Male
diagnosis
medicine.medical_treatment
Patient characteristics
physical examination
Fasciotomy
predictive model
0302 clinical medicine
Risk Factors
Prevalence
CRITERIA
Orthopedics and Sports Medicine
Child
Chronic exertional compartment syndrome
Aged
80 and over
030222 orthopedics
education.field_of_study
OUTCOMES
medicine.diagnostic_test
FASCIOTOMY
Leg pain
PAIN
CECS
clinical history
Middle Aged
SURGICAL-TREATMENT
Athletic Injuries
cardiovascular system
Female
Adult
medicine.medical_specialty
Adolescent
Population
Large population
Physical Therapy
Sports Therapy and Rehabilitation
Physical examination
PRESSURE
Compartment Syndromes
03 medical and health sciences
Young Adult
Internal medicine
medicine
MANAGEMENT
Humans
education
Exercise
Aged
Retrospective Studies
intracompartmental pressure measurements
business.industry
030229 sport sciences
Nomogram
medicine.disease
Surgery
Nomograms
MILITARY
business
Leg Injuries
Zdroj: International Journal of Sports Medicine, 39(1), 58-66. Georg Thieme Verlag
International Journal of Sports Medicine, 39(1), 58-66
ISSN: 1439-3964
0172-4622
Popis: Knowledge about lower leg chronic exertional compartment syndrome (CECS) is largely obtained from highly selected populations. Patient characteristics may therefore not be appropriate for the general population. Our purpose was to describe a heterogeneous population of individuals suspected of lower leg CECS and to identify predictors of CECS. Charts of individuals who were analyzed for exercise-induced lower leg pain in a referral center between 2001 and 2013 were retrospectively studied. Patients were included if history and physical examination were suggestive of CECS and if they had undergone a dynamic intracompartmental pressure measurement. Six hundred ninety-eight of 1411 individuals were diagnosed with CECS in one or more of three lower leg muscle compartments (anterior tibial, deep flexor, lateral). Prevalence of CECS peaked around the age of 20–25 years and decreased thereafter, although a plateau around 50 years was found. Age, gender, bilateral symptoms, previous lower leg pathology, sports (running and skating) and tender muscle compartments were identified as independent predictors of lower leg CECS. The proposed predictive model has moderate discriminative ability (AUC 0.66) and good calibration over the complete range of predicted probabilities. The predictive model, displayed as a nomogram, may aid in selecting individuals requiring an invasive dynamic intracompartmental muscle pressure measurement.
Databáze: OpenAIRE
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