Document Detail

Chronic exertional compartment syndrome: diagnosis and management.
MedLine Citation:
PMID:  16022217     Owner:  NLM     Status:  MEDLINE    
During exercise, muscular expansion and swelling occur. Chronic exertional compartment syndrome represents abnormally increased compartment pressures and pain in the involved extremity secondary to a noncompliant musculofascial compartment. Most commonly, it occurs in the lower leg, but has been reported in the thigh, foot, upper extremity, and erector spinae musculature. The diagnosis is obtained through a careful history and physical exam, reproduction of symptoms with exertion, and pre- and post-exercise muscle tissue compartment pressure recordings. It has been postulated that increased compartment pressures lead to transient ischemia and pain in the involved extremity. However; this is not universally accepted. Other than complete cessation of causative activities, nonoperative management of CECS is usually unsuccessful. Surgical release of the involved compartments is recommended for patients who wish to continue to exercise.
Matthew R Bong; Daniel B Polatsch; Laith M Jazrawi; Andrew S Rokito
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Bulletin (Hospital for Joint Diseases (New York, N.Y.))     Volume:  62     ISSN:  0018-5647     ISO Abbreviation:  Bull Hosp Jt Dis     Publication Date:  2005  
Date Detail:
Created Date:  2005-07-18     Completed Date:  2005-10-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9215948     Medline TA:  Bull Hosp Jt Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-84     Citation Subset:  IM    
NYU-Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, New York 10003, USA.
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MeSH Terms
Chronic Disease
Compartment Syndromes / diagnosis*,  physiopathology,  surgery*,  therapy
Diagnosis, Differential
Leg / anatomy & histology

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