Lower Leg Chronic Exertional Compartment Syndrome in Patients 50 Years of Age and Older
| Autor: | Marc R. Scheltinga, Johan A. de Bruijn, Aniek P. M. van Zantvoort, Michiel B. Winkes, Joep A.W. Teijink, Adwin R. Hoogeveen, Marike van der Cruijsen-Raaijmakers |
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| Přispěvatelé: | RS: CAPHRI - R5 - Optimising Patient Care, Epidemiologie, MUMC+: MA AIOS Heelkunde (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment chronic exertional compartment syndrome DIAGNOSTIC-CRITERIA Fasciotomy 03 medical and health sciences 0302 clinical medicine Older patients Internal medicine medicine MANAGEMENT Orthopedics and Sports Medicine In patient Surgical treatment Chronic exertional compartment syndrome 030222 orthopedics OUTCOMES business.industry FASCIOTOMY PAIN 030229 sport sciences CECS medicine.disease older patients SURGICAL-TREATMENT cardiovascular system MILITARY business |
| Zdroj: | Orthopaedic Journal of Sports Medicine, 6(3):2325967118757179. SAGE Publications Inc. Orthopaedic Journal of Sports Medicine |
| ISSN: | 2325-9671 |
| DOI: | 10.1177/2325967118757179 |
| Popis: | Background: Lower leg chronic exertional compartment syndrome (CECS) is usually diagnosed in young and athletic individuals. The presence of CECS in older patients has received little attention in the literature, and patient characteristics are unknown. Purpose: To determine the prevalence of CECS in older patients (≥50 years) and to assess whether older patients with CECS differ clinically from younger patients with CECS. Study Design: Cohort study; Level of evidence, 3. Methods: All individuals with exercise-induced lower leg pain who visited a referral center for CECS between January 2001 and December 2013 were eligible for analysis. Patients were included if history, physical examination, and dynamic intracompartmental pressure measurement indicated CECS. Characteristics of patients 50 years of age or older were compared with characteristics of patients younger than 50. Results: A total of 698 patients with CECS were included: 98 patients were aged 50 years or older and 600 patients were younger than 50 years. Older individuals more often reported a history of lower leg events or comorbidities (≥50 years, 45% vs Conclusion: In the present population, 1 in 7 patients diagnosed with lower leg CECS was 50 years of age or older. These individuals were less active and had more comorbidities than patients younger than 50 years. Older individuals predominantly have anterior CECS. Clinicians should consider CECS in older individuals with exercise-induced lower leg pain, particularly if it is unilateral. |
| Databáze: | OpenAIRE |
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