Recently, CCS was reported in the posterior compartments as well. CCS has been documented to occur in the anterior and lateral compartments, and surgical treatment has been directed mainly towards the anterior compartment in the presence of appropriate clinical findings. Small observational studies provide limited evidence that as many as 13.9% of leg pain of unknown cause may be related to CCS, while as many as 82% of cases referred for suspected CCS may have elevated ICP. The pathophysiology of CCS is unknown, but reduced microcirculation capacity and increased ICP has been documented. CCS is characterized by leg pain that is serious enough to prohibit running and sometimes even walking. The diagnostic protocol led to a fasciotomy in all compartments of both legs, which was associated with substantial and sustained relief of leg pain, improved HRQL, and patient satisfaction.Ĭhronic compartment syndrome (also known as chronic exertional compartment syndrome) is a disorder that is most often encountered and described in soldiers and athletes, but it has also been reported in nonathletes. Satisfaction with the treatment result was reported by 81.1% of the patients, accompanied by normalized HRQL. Leg cramps occurred in 32 of 37 (86.5%) patients during physical activity and at night. The remaining compartments were diagnosed as CCS based on clinical findings, despite ICPs below the threshold. ICP was increased in 80.5% of the compartments examined before surgery, but did not correlate with the degree of leg pain. Resultsįollow-up was completed for 37 of 40 patients. Postoperative data were collected after 2 years. Secondary outcomes were satisfaction with the treatment result and health-related quality of life (HRQL) measured with the SF-8 questionnaire.
The primary outcome was self-reported leg pain measured on a visual analogue scale. Before and after a symptom-provoking step test, ICPs were measured.
#Compartments of leg mri skin#
MethodsĪ standardized clinical examination, including skin sensitivity, was performed in patients with bilateral leg pain and/or cramps. The aim of this study was to examine whether patients who underwent surgery for CCS based on clinical findings experienced significant long-term pain relief. We present a diagnostic protocol in which the decision to operate can be based upon clinical findings alone.
Intracompartmental pressure (ICP) as the diagnostic gold standard in the management of chronic compartment syndrome (CCS) is debated.
0 kommentar(er)
