Ultrasound-Guided, Percutaneous Needle Fascial Fenestration for the Treatment of Chronic Exertional Compartment Syndrome: A Case Report

PM & R : the Journal of Injury, Function, and Rehabilitation
Jonathan T Finnoff, Sathish Rajasekaran

Abstract

Chronic exertional compartment syndrome (CECS) involves a painful increase in compartment pressure caused by exercise and relieved by rest. The most common site for CECS in the lower extremity is the anterior leg compartment. We report a case of a collegiate athlete with bilateral anterior and lateral leg compartment CECS who was successfully treated with an ultrasound-guided, percutaneous needle fascial fenestration of the affected compartments in both legs and was able to return to full, unrestricted activity within 1 week of the procedure. This case highlights the potential application of this procedure for the treatment of anterior and lateral leg CECS.

References

May 1, 1985·The American Journal of Sports Medicine·D E DetmerF M Girdley
Mar 1, 1997·British Journal of Sports Medicine·M Barnes
Mar 20, 2012·The American Journal of Sports Medicine·Angela R DiebalJ Parry Gerber
Dec 19, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Sathish RajasekaranJonathan T Finnoff
Feb 2, 2013·The American Journal of Sports Medicine·Jonathan D PackerJordan D Metzl
Aug 24, 2013·The American Journal of Sports Medicine·Marie-Eve Isner-HorobetiJehan Lecocq

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Citations

May 14, 2016·Current Sports Medicine Reports·Sathish Rajasekaran, Mederic M Hall
Oct 19, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Daniel R LuedersJonathan T Finnoff
Nov 7, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Jonathan T Finnoff, Wade Johnson
Aug 28, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Jacob H ReisnerJonathan T Finnoff

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