Ultrasound-Guided, Percutaneous Needle Fascial Fenestration for the Treatment of Chronic Exertional Compartment Syndrome: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (3) ◽  
pp. 286-290 ◽  
Author(s):  
Jonathan T. Finnoff ◽  
Sathish Rajasekaran
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Ultrasound Guided ◽  
Chronic Exertional Compartment Syndrome ◽  
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.

Chronic exertional compartment syndrome of the foot. A case report

1998 ◽  
Vol 88 (1) ◽  
pp. 21-24 ◽  
Author(s):  
MB Mollica
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Compartment Syndrome ◽  
Clinical Examination ◽  
Subjective Symptoms ◽  
Compartment Pressure ◽  
Chronic Exertional Compartment Syndrome ◽  
Pressure Testing ◽  
Exertional Compartment Syndrome

The author describes a case of chronic exertional compartment syndrome of the foot affecting a 19-year-old male triathlete. Relevant anatomy, subjective symptoms, and clinical examination are discussed. Diagnostic confirmation, as achieved with compartment-pressure testing, is also presented, as is surgical treatment through decompressive fasciotomy of the affected compartment.

Ultrasound-Guided Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg

2016 ◽  
Vol 35 (4) ◽  
pp. 823-829 ◽  
Author(s):  
Ramon Balius ◽  
David A. Bong ◽  
Jordi Ardèvol ◽  
Carles Pedret ◽  
David Codina ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Ultrasound Guided ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome

Chronic Exertional Compartment Syndrome Treated With Botulinum Toxin-A Yielding 36-Month Total Symptom Relief: A Case Report

2021 ◽  
Author(s):  
Maxwell Jensen ◽  
Robert Maxwell Lystrup ◽  
Christopher E Jonas
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Compartment Syndrome ◽  
Military Service ◽  
Botulinum Toxin A ◽  
Service Members ◽  
Toxin A ◽  
Chronic Exertional Compartment Syndrome ◽  
Military Service Members ◽  
Exertional Compartment Syndrome

ABSTRACT Chronic exertional compartment syndrome (CECS) can be a debilitating condition observed in athletes, including military service members. Surgical fascial release, first described in 1956, has long been a standard treatment despite symptom recurrence in up to 45% of surgically treated military service members. A 2013 case series introduced intracompartmental Botulinum Toxin-A (BoNT-A) injections as a nonsurgical CECS treatment option, demonstrating efficacy for 15 of 16 patients. At the time of this submission, two additional case reports addressing BoNT-A injections for CECS have occurred. This case report describes a U.S. Military service member treated with ultrasound-guided BoNT-A for bilateral lower leg CECS. This patient achieved pain-free activities for 36 months with one treatment. This case, coupled with additional literature, supports consideration of BoNT-A as a potential long-term, nonsurgical alternative for CECS.

Sign in / Sign up

Export Citation Format

Share Document