Keywords: pressure, exercise, lower extremity (PubMed Search)
Chronic Exertional Compartment Syndrome (CECS)
Similar pathology to acute compartment syndrome except symptoms are related to activity (frequently running) and abate with rest.
95% involve lower extremity
Inappropriately elevated tissue pressure in one or more lower leg compartments associated with exercise
Anterior compartment most frequently involved
As tissue pressure increases, local perfusion is decreased. This leads to symptoms of pain, pressure, cramping and paresthesias.
Also commonly associated with team sports such as soccer, lacrosse and field hockey.
More likely in competitive athletes than recreational.
Patient will be symptom free at time of ED evaluation
Make diagnosis of CECS with history
Diagnosis with compartment pressure measurements done in office with treadmill exercise.
Non operatively, gait retraining programs have been shown to help symptoms. Appropriate if symptoms are mild.
Surgical treatment involves a minimally invasive fasciotomy
Post surgery success rates are between 63-100% with recurrence rates up to 20%