Single-incision endoscopically-assisted compartment releases for exertional compartment syndrome in pediatric patients

2010 ◽  
Vol 21 (2) ◽  
pp. 213-217 ◽  
Author(s):  
Nirav Kirtkumar Pandya ◽  
Theodore J. Ganley
Keyword(s):  
Compartment Syndrome ◽  
Pediatric Patients ◽  
Single Incision ◽  
Exertional Compartment Syndrome

scholarly journals Endoscopic Fascia Release for Forearm Chronic Exertional Compartment Syndrome: Case Report and Surgical Technique

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP58-NP61 ◽  
Author(s):  
Elizabeth A. Miller ◽  
Anna L. Cobb ◽  
Tyson K. Cobb
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Single Incision ◽  
Invasive Technique ◽  
Compartment Pressure ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Before And After ◽  
History Of ◽  
Forearm Pain

Background: Chronic exertional compartment syndrome (CECS) of the forearm is traditionally treated with open compartment release requiring large incisions that can result in less than optimal esthetic results. The purpose of this study is to describe a case report of 2 professional motocross patients with forearm CECS treated endoscopically using a minimally invasive technique. Methods: Two professional motocross racers presented with a history of chronic proximal volar forearm pain when motocross riding. Other symptoms included paresthesia and weakness, which, at times, led to an inability to continue riding. Both failed conservative management. Compartment pressure measurements were performed before and after provocative exercises to confirm diagnosis of CECS. Release of both the volar and dorsal compartments was performed endoscopically through a single incision. Results: Symptoms resolved after surgery. The first patient resumed riding at 1 week, competing at 3 weeks, and continues to ride competitively without symptoms at 3 years postoperative. The second patient began riding at 1 week and won second place in the National Supercross finals 5 weeks after simultaneous bilateral release. Conclusions: This technique is simple and effective. The cannula used protects the superficial nerves while allowing release through a small, cosmetically pleasing incision.

Surgical Treatment of Chronic Exertional Compartment Syndrome in Pediatric Patients

2016 ◽  
Vol 44 (10) ◽  
pp. 2644-2650 ◽  
Author(s):  
Jennifer J. Beck ◽  
Frances A. Tepolt ◽  
Patricia E. Miller ◽  
Lyle J. Micheli ◽  
Mininder S. Kocher
Keyword(s):  
Surgical Treatment ◽  
Compartment Syndrome ◽  
Pediatric Patients ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome

Surgical Tips for Performing Open Fasciotomies for Chronic Exertional Compartment Syndrome of the Leg

2019 ◽  
Vol 40 (7) ◽  
pp. 859-865 ◽  
Author(s):  
William F. Scully ◽  
Jerome M. Benavides
Keyword(s):  
Compartment Syndrome ◽  
Patient Outcomes ◽  
Military Personnel ◽  
Single Incision ◽  
Minimally Invasive Techniques ◽  
Level Of Evidence ◽  
Chronic Exertional Compartment Syndrome ◽  
Surgical Methods ◽  
Exertional Compartment Syndrome ◽  
Invasive Techniques

Chronic exertional compartment syndrome (CECS) of the leg is a debilitating condition that has previously been characterized in athletes and military personnel. The results of surgical management in these patient populations have previously been published with inconsistencies in surgical methods and patient outcomes noted. While endoscopic and minimally invasive techniques have been described, a detailed description of a “standard” open, 2-incision lateral and single-incision medial technique for the treatment of CECS has not been previously published. The purpose of this technique article is to highlight several tips and considerations related to this procedure in the hopes of standardizing treatment and potentially improving patient outcomes. Level of Evidence: Level V, expert opinion.

scholarly journals Acute Exertional Compartment Syndrome: A Case Series and Review of the Literature

2021 ◽  
pp. 100040
Author(s):  
Matthew Griffith ◽  
Joshua Hattaway ◽  
Ryan Griffith ◽  
Frederick O'Brien ◽  
Jeannie Huh
Keyword(s):  
Compartment Syndrome ◽  
Case Series ◽  
Review Of The Literature ◽  
Exertional Compartment Syndrome

scholarly journals Factors Predicting Lower Leg Chronic Exertional Compartment Syndrome in a Large Population

2017 ◽  
Vol 39 (01) ◽  
pp. 58-66 ◽  
Author(s):  
Johan de Bruijn ◽  
Aniek van Zantvoort ◽  
David van Klaveren ◽  
Michiel Winkes ◽  
Marike van der Cruijsen-Raaijmakers ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Predictive Model ◽  
Pressure Measurement ◽  
Large Population ◽  
Lower Leg ◽  
Leg Pain ◽  
Intracompartmental Pressure ◽  
Discriminative Ability ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome

AbstractKnowledge about lower leg chronic exertional compartment syndrome (CECS) is largely obtained from highly selected populations. Patient characteristics may therefore not be appropriate for the general population. Our purpose was to describe a heterogeneous population of individuals suspected of lower leg CECS and to identify predictors of CECS. Charts of individuals who were analyzed for exercise-induced lower leg pain in a referral center between 2001 and 2013 were retrospectively studied. Patients were included if history and physical examination were suggestive of CECS and if they had undergone a dynamic intracompartmental pressure measurement. Six hundred ninety-eight of 1411 individuals were diagnosed with CECS in one or more of three lower leg muscle compartments (anterior tibial, deep flexor, lateral). Prevalence of CECS peaked around the age of 20–25 years and decreased thereafter, although a plateau around 50 years was found. Age, gender, bilateral symptoms, previous lower leg pathology, sports (running and skating) and tender muscle compartments were identified as independent predictors of lower leg CECS. The proposed predictive model has moderate discriminative ability (AUC 0.66) and good calibration over the complete range of predicted probabilities. The predictive model, displayed as a nomogram, may aid in selecting individuals requiring an invasive dynamic intracompartmental muscle pressure measurement.

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