文献简介

出版社:Knee Surg Sports Traumatol Arthrosc

作  者:W. A. Van der Wal•P. J. C. Heesterbeek• J. G. H. Van den Brand•E. J. M. M. Verleisdonk

编  号:10.1007/s00167-014-2847-2

关键字:Chronic exertional compartment syndrome | Lower leg | Fasciotomy | Anterior compartment

年  份:2014   点击量:395

文献摘要

Purpose

The aim of this study was to investigate the natural course of chronic exertional compartment syn- drome (CECS) in the lower leg.

Methods

Twelve military men [mean age 30 (SD 4)] diagnosed with CECS after intracompartmental pressure (ICP) measurements immediately post-exercise in 21 legs, who did not undergo a fasciotomy, were reviewed and participated in a repeat pressure measurement after a mean time of 50 months (SD 15).

Results

Sixteen of 21 legs still showed an ICP of 35 mm Hg or more (the cut-off point) at the second visit. All twelve patients still had typical complaints. Mean ICP at index measurement was 58 (SD 15) mm Hg. At the second visit, it was 51 (SD 15) mm Hg. Six patients chose to undergo a subcutaneous fasciotomy, and these six patients all benefited in the short term.

Conclusion

The natural course of CECS seems to be persistent symptoms over time.