Chronic exertional compartment syndrome of the leg in athletes: evaluation and management

The Physician and Sportsmedicine
Corey S GillMatthew J Matava

Abstract

Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower leg pain in both athletes and nonathletes. In contrast to acute compartment syndrome, CECS is generally not related to trauma, and is often suspected in the outpatient setting by primary care physicians, podiatrists, sports medicine clinicians, and orthopedic surgeons. The diagnosis of CECS is often overlooked because patients avoid or withdraw from exacerbating physical activities instead of seeking treatment for their symptoms from a health care professional. A thorough history and physical examination of an individual with activity-related lower leg pain is necessary for correct diagnosis to occur. Appropriate diagnostic testing with measurement of intracompartmental pressures reliably confirms the diagnosis of CECS. Nonoperative treatments of CECS rarely leads to complete resolution of symptoms or an individual's ability to return to previous levels of recreational or athletic activity. Fasciotomy of the involved compartments can reliably lead to resolution of pain and the ability to return to previous activities within 6 weeks.

References

Jan 1, 1990·The American Journal of Sports Medicine·A AmendolaL Nott
Jan 1, 1990·The American Journal of Sports Medicine·R A PedowitzD H Gershuni
Oct 1, 1989·Annals of Surgery·W TurnipseedF Girdley
May 1, 1988·The American Journal of Sports Medicine·C H RorabeckL Nott
May 1, 1994·Annals of Biomedical Engineering·C HurschlerW D Turnipseed
Nov 1, 1993·The American Journal of Sports Medicine·A A SchepsisM Corbett
Jul 29, 1999·The American Journal of Sports Medicine·A A SchepsisT A Foster
Aug 26, 2000·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·J L HowardJ P Wiley
Mar 26, 2002·The American Journal of Sports Medicine·Fraser J LeversedgeJohn W Xerogeanes
Apr 16, 2002·American Journal of Physical Medicine & Rehabilitation·Tamara D LauderJoel P Felmlee
Jul 20, 2002·The American Journal of Sports Medicine·Drew SlimmonSimon N Bell
Aug 2, 2003·The Journal of the American Academy of Orthopaedic Surgeons·Michael J Fraipont, Gregory J Adamson
Sep 10, 2003·Current Sports Medicine Reports·Fred H Brennan, Shawn F Kane
Jan 15, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Drew A Stein, Brian J Sennett
May 13, 2005·The American Journal of Sports Medicine·Anthony A SchepsisRobert Nicoletta

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Citations

Oct 5, 2014·Clinics in Sports Medicine·John C Dunn, Brian R Waterman
Aug 9, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jason Tjeerdsma
Aug 24, 2013·The American Journal of Sports Medicine·Marie-Eve Isner-HorobetiJehan Lecocq
Mar 13, 2020·Sports Health·Matthew SalzlerMininder S Kocher

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