Endoscopic Single Approach Forearm Fasciotomy for Chronic Exertional Compartment Syndrome: Long Term Follow-up
Autor: | L. Pegoli, Alessandro Pozzi, G Pivato |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Visual analogue scale medicine.medical_treatment Compartment Syndromes Fasciotomy 03 medical and health sciences 0302 clinical medicine Forearm Surveys and Questionnaires Dash medicine Humans Chronic exertional compartment syndrome Pain Measurement 030222 orthopedics Referred pain medicine.diagnostic_test biology business.industry Athletes Endoscopy 030229 sport sciences General Medicine Middle Aged medicine.disease biology.organism_classification Surgery medicine.anatomical_structure Chronic Disease Physical therapy Female business Follow-Up Studies |
Zdroj: | The journal of hand surgery Asian-Pacific volume. 21(1) |
ISSN: | 2424-8363 |
Popis: | Background: Chronic exertional compartment syndrome of the forearm is an uncommon condition, occurring in some populations such as athletes. The standard surgical treatment for professional athletes who cannot avoid trigger activity is an open forearm fasciotomy, which may require a long recovery time. The aim of this study is to present a new endoscopic single approach forearm fasciotomy technique and outcomes of at least 3 years follow up. Methods: We performed the endoscopic single approach forearm fasciotomy in 4 forearms in 3 men with the mean age of 25 years. All of the patients were evaluated at a mean follow up of 46 months using the Visual Analog Scale (VAS) for pain and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Results: DASH improved from 21.71 to 5.39, VAS score improved too All the patients referred pain absence after the stress test performed at 20 kilos and 40 kilos. In our series no post-operative complications were observed. Conclusions: The new mini-invasive technique has proved to be safe, reliable in a long-term follow-up. The main advantage is the shortening of the recovering time, that leads to a faster return to the professional activity. |
Databáze: | OpenAIRE |
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