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Ultrasound‐Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg
Authors:Ramon Balius MD  PhD  David A Bong MD  Jordi Ardèvol MD  PhD  Carles Pedret MD  PhD  David Codina MD  Antonio Dalmau MD
Affiliation:1. Consell Catalá de l'Esport, Generalitat de Catalunya, Barcelona, Spain;2. Clinica Diagonal, Barcelona Spain;3. Instituto Poal de Reumatologia, Barcelona, Spain;4. Department of Orthopedic and Trauma Surgery, Hospital Asepeyo, Sant Cugat, Spain;5. Clinica Mapfre de Medicina del Tenis, Barcelona, Spain;6. Centre de Diagnóstic per la Imatge de Tarragona, Tarragona, Spain
Abstract:Chronic exertional compartment syndrome is characterized by exertional pain and elevated intracompartmental pressures affecting the leg in physically active young people. In patients who have failed conservative measures, fasciotomy is the treatment of choice. This study presents a new method for performing fasciotomy using high‐resolution ultrasound (US) guidance and reports on the clinical outcomes in a group of these patients. Over a 3‐year period, 7 consecutive patients with a total of 9 involved legs presented clinically with anterior compartment chronic exertional compartment syndrome, which was confirmed by intracompartmental pressure measurements before and after exercise. After a US examination, fasciotomy under US guidance was performed. Preoperative and postoperative pain and activity levels were assessed as well as number of days needed to “return to play.” All patients had a decrease in pain, and all except 1 returned to presymptomatic exercise levels with a median return to play of 35 days.
Keywords:anterior myofascial compartment  chronic exertional compartment syndrome  fasciotomy  musculoskeletal ultrasound  superficial peroneal nerve  ultrasound
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