Hefte zu “der Unfallchirurg”. Springer Verlag 1997 267: 277-281 Diagnosis of chronic compartment syndrome in the leg by history, signs and intramuscular pressure recordings. In: Willy C, Sterk J, Gerngros H (eds) Das Kompartmentsyndrom. Intramuscular pressure and muscle blood flow during exercise in chronic compartment syndrome.Ĭhronic anterior compartment syndrome of the leg.Ĭhronic exercise induced pain in the anterior aspect of the lower leg, an overview of diagnosis. Microcapillary infusion technique for measurement of intramuscular pressure during exercise. Surgical management of exertional compartment syndrome of the lower leg. The role of tissue pressure measurement in diagnosing chronic anterior compartment syndrome. The Surgical treatment of exertional compartment syndrome in athletes. The pathofysiology of the anterior tibial compartmental syndrome. The anterior and the lateral compartmental syndrome of the leg due to intensive use of muscles. Intramuscular pressure, muscle blood flow and skeletal muscle metabolism in chronic anterior tibial compartment syndrome. Qvarfordt P, Christenson J T, Eklof B, Olin P, Saltin B. Intracompartmental pressure increase on exertion in patients with chronic compartment syndrome in the leg. Modified criteria for the objective diagnosis of chronic compartment syndrome of the leg. Pedowitz R A, Hargens A R, Mubarak S J, Gershuni D H. Measurement of intracompartmental pressure: a comparison of the slit catheter, side ported needle and simple needle.ĭouble incision fasciotomy of the leg for decompression in compartment syndromes. Monitoring dynamic anterior compartment pressure during exercise. Muscle stifness, strength loss, swelling and soreness following exercise-induced injury in humans. Management of chronic exertional anterior compartment syndrome of the lower extremity.

Further research has to be done for the minimum tissue pressures above which fasciotomy may be successful in terms of reducing complaints.Įlevated pressure compartment - fasciotomy ReferencesĬhronic exertional compartment syndrome of the lower leg.Ĭhronic exercise induced compartment pressure elevation measured with a miniaturized fluid pressure monitor.ĭetmer D E, Sharpe K, Sufit R L, Girdley F M.Ĭhronic compartment syndrome: diagnosis, management, and outcomes.īloodflow through limb muscles during heavy rhytmic exercise. Fasciotomy in patients with a (chronic) exercise-induced compartment syndrome in the anterior compartment of the lower leg, based on our criteria, gave a marked reduction in symptoms in 87 % of the patients. Twelve of these patients (24 compartments) were asymptomatic after surgery.

In 18 patients a fasciotomy was performed on the basis of the typical history, despite normal or slightly increased intramuscular pressures. Patients who were not found to have increased tissue pressure were also asked to report developments through the questionnaire. Two years after fasciotomy, (remaining) complaints were evaluated on the basis of a questionnaire: 87 % of the patients had significant reduction in complaints. In 56 patients (106 compartments) increased tissue pressure was found (> 50 mmHg measured immediately after exercise, or > 30 mmHg if the pressure before exercise > 20 mmHg, or if the pressure five minutes after exercise is still > 30mmHg). Tissue measurements were performed in 114 patients. The diagnosis of (chronic) exertional compartment syndrome was made if pain in the lateral side of the lower leg after a standard physical load was accompanied by elevated tissue pressures in the anterior muscle compartment. This prospective study aims to describe the results of fasciotomy in patients with exercise-induced pain in the lower leg with suspected (chronic) exertional compartment syndrome. Buy Article Permissions and Reprints Abstract

Compartments of leg fasciotomy