Chronic exertional compartment syndrome of the leg in athletes: Evaluation and management

Corey S. Gill, Mark E. Halstead, Matthew J. Matava

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower leg pain in both athletes and nonathletes. In contrast to acute compartment syndrome, CECS is generally not related to trauma, and is often suspected in the outpatient setting by primary care physicians, podiatrists, sports medicine clinicians, and orthopedic surgeons. The diagnosis of CECS is often overlooked because patients avoid or withdraw from exacerbating physical activities instead of seeking treatment for their symptoms from a health care professional. A thorough history and physical examination of an individual with activity-related lower leg pain is necessary for correct diagnosis to occur. Appropriate diagnostic testing with measurement of intracompartmental pressures reliably confirms the diagnosis of CECS. Nonoperative treatments of CECS rarely leads to complete resolution of symptoms or an individual's ability to return to previous levels of recreational or athletic activity. Fasciotomy of the involved compartments can reliably lead to resolution of pain and the ability to return to previous activities within 6 weeks.

Original languageEnglish (US)
Pages (from-to)126-132
Number of pages7
JournalPhysician and Sportsmedicine
Volume38
Issue number2
DOIs
StatePublished - Jun 1 2010
Externally publishedYes

Fingerprint

Compartment Syndromes
Athletes
Leg
Aptitude
Pain
Sports Medicine
Primary Care Physicians
Physical Examination
Sports
Outpatients
History
Exercise
Delivery of Health Care
Pressure
Wounds and Injuries
Therapeutics

Keywords

  • Chronic exertional compartment syndrome
  • Fasciotomy
  • Physical activity

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Chronic exertional compartment syndrome of the leg in athletes : Evaluation and management. / Gill, Corey S.; Halstead, Mark E.; Matava, Matthew J.

In: Physician and Sportsmedicine, Vol. 38, No. 2, 01.06.2010, p. 126-132.

Research output: Contribution to journalReview article

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