2018, Number 1
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Acta Ortop Mex 2018; 32 (1)
Management of the chronic compartment syndrome of the leg in athletes.
Presentation of 2 cases and review of literature
Zenteno-Chávez B
Language: Spanish
References: 19
Page: 41-43
PDF size: 435.03 Kb.
ABSTRACT
A problem commonly undiagnosed,
severe and diffi cult to treat is chronic compartment
syndrome in athletes. This pathology in its
acute phase requires a diagnosis and treatment
early to avoid muscle necrosis and neurological
injury. Also, in chronic cases, the diagnosis is
mainly clinical and the complete liberation of all
compartments of the leg is essential. I review the
literature of management of this pathology and two
cases with specific treatment are presented. The
objective is to provide evidence-based guidance
for both chronic and acute treatment of chronic
compartment syndrome in athletes to reduce the
delay in the diagnosis and implement effective
therapeutic measures for the improvement of
the athletes and to avoid as much as possible the
presentation of complications and sequelae in this
group of patients.
REFERENCES
Frampton MJ, Adamson GJ: Chronic exertional compartment syndrome. J Am Acad Orthop Surg. 2003; 11(4): 268-76.
Aweid O, Del Buono A, Malliaras P, Iqbal H, Morrissey D, Maff ulli N, et al: Systematic review and recommendations for intracompartmental pressure monitoring in diagnosing chronic exertional compartment syndrome of the leg. Clin J Sport Med. 2012; 22(4): 356-70.
Tiidus PM: Is intramuscular pressure a valid diagnostic criterion for chronic exertional compartment syndrome? Clin J Sport Med. 2014; 24(1): 87-8.
Roscoe D, Roberts AJ, Hulse D: Intramuscular compartment pressure measurement in chronic exertional compartment syndrome: new and improved diagnostic criteria. Am J Sports Med. 2015; 43(2): 392-8.
Roberts A, Franklyn-Miller A: The validity of the diagnostic criteria used in chronic exertional compartment syndrome: a systematic review. Scand J Med Sci Sports. 2012; 22(5): 585-95.
Rajasekaran S, Beavis C, Aly AR, Leswick D: The utility of ultrasound in detecting anterior compartment thickness changes in chronic exertional compartment syndrome: a pilot study. Clin J Sport Med. 2013; 23(4): 305-11.
Van der Wal WA, Heesterbeek PJ, Van den Brand JG, Verleisdonk EJ: The natural course of chronic exertional compartment syndrome of the lower leg. Knee Surg Sports Traumatol Arthrosc. 2015; 23(7): 2136-41.
Rowdon GA, Richardson JK, Hoff mann P, Zaff er M, Barill E: Chronic anterior compartment syndrome and deep peroneal nerve function. Clin J Sport Med. 2001; 11(4): 229-33.
Bresnahan JJ, Hennrikus WL: Chronic exertional compartment syndrome in a high school soccer player. Case Rep Orthop. 2015; 2015: 965257.
Abramowitz AJ, Schepsis AA: Chronic exertional compartment syndrome of the lower leg. Orthop Rev. 1994; 23(3): 219-25.
Bong MR, Polatsch DB, Jazrawi LM, Rokito AS: Chronic exertional compartment syndrome: diagnosis and management. Bull Hosp Jt Dis. 2005; 62(3-4): 77-84.
Balius R, Bong DA, Ardčvol J, Pedret C, Codina D, Dalmau A: Ultrasound-guided fasciotomy for anterior chronic exertional compartment syndrome of the leg. J Ultrasound Med. 2016; 35(4): 823-9. pii: 15.04058. [Epub ahead of print]
Pasic N, Bryant D, Willits K, Whitehead D: Assessing outcomes in individuals undergoing fasciotomy for chronic exertional compartment syndrome of the leg. Arthroscopy. 2015; 31(4): 707-13.
Finestone AS, Noff M, Nassar Y, Moshe S, Agar G, Tamir E: Management of chronic exertional compartment syndrome and fascial hernias in the anterior lower leg with the forefoot rise test and limited fasciotomy. Foot Ankle Int. 2014; 35(3): 285-92.
Ali T, Mohammed F, Mencia M, Maharaj D, Hoford R: Surgical management of exertional anterior compartment syndrome of the leg. West Indian Med J. 2013; 62(6): 529-32.
Blackman PG: A review of chronic exertional compartment syndrome in the lower leg. Med Sci Sports Exerc. 2000; 32(3 Suppl): S4-10.
Winkes MB, Hoogeveen AR, Scheltinga MR: Is surgery effective for deep posterior compartment syndrome of the leg? A systematic review. Br J Sports Med. 2014; 48(22): 1592-8.
Packer JD, Day MS, Nguyen JT, Hobart SJ, Hannafi n JA, Metzl JD: Functional outcomes and patient satisfaction after fasciotomy for chronic exertional compartment syndrome. Am J Sports Med. 2013; 41(2): 430-6.
Voleti PB, Lebrun DG, Roth CA, Kelly JD 4th: Endoscopic thermal fasciotomy for chronic exertional compartment syndrome. Arthrosc Tech. 2015; 4(5): e525-9.