Is intramuscular pressure a valid diagnostic criterion for chronic exertional compartment syndrome?

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Peter M Tiidus

Abstract

To compare the intramuscular pressure (IMP) of the tibialis anterior in healthy persons under several exercise conditions with the IMP diagnostic criteria in use for diagnosing chronic exertional compartment syndrome (CECS). A search of MEDLINE for the period 1966 to March 2010 used the words "intramuscular," "intracompartment," "anterior compartment," and "anterior tibial compartment" linked with "pressure." Reference lists of relevant studies were searched for further articles. Articles published in English that tested IMP in the tibialis anterior in asymptomatic humans were included if they used no interventions before or during IMP testing. Studies were excluded if data were given as a percentage of IMP or if the data could not be extracted for the tibialis anterior compartment alone. From 515 articles identified, 38 studies met selection criteria : Details of the studies included IMP measurement technique, timing of measurement (before, during, and/or after exercise), type and duration of exercise, the number of compartments measured, and participants' ages. Mean or median pressure was recorded in mm Hg. Criteria for the upper limit of normal pressure under different conditions were the Pedowitz criterion for preexercise I...Continue Reading

References

Jul 20, 2002·The American Journal of Sports Medicine·Drew SlimmonSimon N Bell

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Citations

Oct 4, 2014·Annals of Vascular Surgery·Aimie K Apigian, Gregory J Landry
Nov 25, 2017·European Journal of Sport Science·Alban Fouasson-ChaillouxMarc Dauty
Sep 6, 2017·The Journal of Bone and Joint Surgery. American Volume·Sravya T ChallaBrandon R Macias
Aug 27, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·J P H TamM Hassaballa

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