Fasciotomy for Deep Posterior Compartment Syndrome in the Lower Leg: A Prospective Study

The American Journal of Sports Medicine
Michiel B WinkesMarc R Scheltinga

Abstract

Patients with exercise-induced lower leg pain may suffer from deep posterior chronic exertional compartment syndrome (dp-CECS). Current evidence for the efficacy of surgery is based on retrospective studies. Effects of fasciotomy on symptoms associated with dp-CECS have not been systematically studied, and reasons for unsuccessful surgery are unknown. To report the short- and long-term effects of fasciotomy on pain, tightness, and cramps in a prospective cohort of patients with isolated dp-CECS. Case series; Level of evidence, 4. Between September 2011 and January 2015, pain, tightness, cramps, muscle weakness, and diminished sensation were scored (5-item verbal rating scale ranging from very severe [5 points] to absent [1 point]) in patients with dp-CECS before and after fasciotomy. Outcomes were graded as excellent, good, moderate, fair, or poor. Fair and poor cases were again analyzed during a follow-up visit in the outpatient department. Forty-four patients underwent surgery for isolated dp-CECS. Short-term follow-up (median, 4 months; range, 3-7 months) was complete in 42 of the 44 patients (95%; median patient age, 23 years; 23 male; 64 operated legs). Long-term follow-up (median, 27 months; range, 12-42 months) was compl...Continue Reading

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Citations

Mar 28, 2018·British Journal of Sports Medicine·Michiel B Winkes, Marc R Scheltinga
Oct 20, 2019·Der Unfallchirurg·Johan de BruijnMarc Scheltinga
Jun 12, 2020·Scandinavian Journal of Medicine & Science in Sports·Sanne VogelsRigo Hoencamp
Nov 13, 2019·Der Unfallchirurg·Aniek van ZantvoortMarc Scheltinga
Jan 7, 2020·Orthopaedic Journal of Sports Medicine·Antonia P M van ZantvoortMarc R M Scheltinga
Jun 22, 2017·Orthopaedic Journal of Sports Medicine·Aniek P M van ZantvoortMarc R Scheltinga
Aug 30, 2018·Journal of Physical Therapy Science·Dai SugimotoPierre A d'Hemecourt
Mar 14, 2018·Orthopaedic Journal of Sports Medicine·Johan A de BruijnMarc R M Scheltinga
Aug 27, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·J P H TamM Hassaballa
Apr 18, 2019·Der Unfallchirurg·Aniek van ZantvoortMarc Scheltinga
May 18, 2019·Der Unfallchirurg·Michiel WinkesMarc Scheltinga
Apr 14, 2019·Der Unfallchirurg·Johan de BruijnMarc Scheltinga
Oct 9, 2020·Current Sports Medicine Reports·Uzoma NwakibuMark R Hutchinson
Oct 17, 2020·Orthopaedic Journal of Sports Medicine·Peter GrechenigGloria Hohenberger
Nov 12, 2020·International Journal of Sports Medicine·Sanne VogelsMarc R Scheltinga
Aug 28, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Jacob H ReisnerJonathan T Finnoff
Mar 19, 2021·Medicine and Science in Sports and Exercise·Sanne VogelsMarc R M Scheltinga
Jan 19, 2022·The Journal of Bone and Joint Surgery. American Volume·Drew SchupbachEdward J Harvey

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