Fasciotomy for chronic exertional compartment syndrome of the leg: clinical outcome in a large retrospective cohort

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
J P H TamM Hassaballa

Abstract

Chronic exertional compartment syndrome (CECS) is an overuse disorder typically affecting an athletic population. CECS is a diagnosis based on history and intracompartmental pressure (ICP) testing. CECS patients can be treated surgically by fasciotomy; however, research on the relationship between ICP and patient symptoms and also between ICP and patient-reported outcome post-fasciotomy is limited. This study aims to (1) assess functional outcome and patient satisfaction post-fasciotomy and (2) identify any potential correlation between ICP and reported levels of pain. 138 CECS patients who had ICP measurements and subsequently underwent fasciotomy were identified from our regional service for exercise-induced lower limb extremity pain between January 2000 and March 2017. Clinical outcomes were recorded at the time of ICP testing and in the post-operative follow-up clinic. Pain was reported using a verbal rating scale (VRS) ('low', 'moderate' or 'high') or as a visual analogue score (VAS) 0-10 (0 = least painful, 10 = most painful). Spearman's ranked correlation test was used to calculate correlation between ICP and reported pain. A total of 138 patients were eligible for inclusion in this study (mean age 29.7 ± 9.7 years, 110 ...Continue Reading

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Citations

Mar 13, 2020·Sports Health·Matthew SalzlerMininder S Kocher
Mar 7, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·William M OliverSamuel G Molyneux

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