Fasciotomy for Lateral Lower-leg Chronic Exertional Compartment Syndrome
| Autor: | Joep A.W. Teijink, Aniek P. M. van Zantvoort, Marc R. Scheltinga, Marike van der Cruijsen-Raaijmakers, Johan A. de Bruijn, Henricus P.H. Hundscheid |
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| Přispěvatelé: | RS: CAPHRI - R5 - Optimising Patient Care, Epidemiologie |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Treatment outcome Physical Therapy Sports Therapy and Rehabilitation PRESSURE DIAGNOSIS Compartment Syndromes Fasciotomy surgery Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires MANAGEMENT medicine Humans Orthopedics and Sports Medicine In patient Sports activity Young adult Exercise Chronic exertional compartment syndrome Retrospective Studies Leg OUTCOMES 030222 orthopedics business.industry intracompartmental pressure measurement PAIN Leg pain Retrospective cohort study CECS 030229 sport sciences Middle Aged medicine.disease Surgery operation Treatment Outcome SURGICAL-TREATMENT Chronic Disease cardiovascular system Female business Sports |
| Zdroj: | International Journal of Sports Medicine, 39(14), 1081-1087. Georg Thieme Verlag |
| ISSN: | 1439-3964 0172-4622 |
| DOI: | 10.1055/a-0640-9104 |
| Popis: | Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected. Knowledge about CECS of the lateral compartment (lat-CECS) is limited and outcome after fasciotomy is unknown. The purpose of this study is to report on success rates of fasciotomy in patients with lat-CECS. Surgical success rates in patients with lat-CECS diagnosed with a dynamic intracompartmental pressure (ICP) measurement were studied using a questionnaire (success: excellent or good as judged by the patient; unsuccessful: moderate, fair or poor). We conducted ICP measurements in 247 patients for suspected lat-CECS, of whom 78 were positively diagnosed. Following exclusion (n=11), 30 of the eligible 67 patients completed the questionnaire. Bilateral (70%, n=21/30) exertional pain (97%, n=29) and a feeling of tightness (93%, n=28) were the most frequently reported symptoms. Four years after fasciotomy, severity and frequency of symptoms had dropped significantly. Long-term surgical success was reported by 33% (n=10; excellent n=4, good n=6). Seventy-three percent (n=22) had resumed sports activities (9 same level, 13 lower level). In conclusion, a fasciotomy for lat-CECS was successful in the long term in just one of three operated patients in this retrospective study. |
| Databáze: | OpenAIRE |
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