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The American Journal of Sports Medicine 16:143-146 (1988)
© 1988 SAGE Publications

The role of tissue pressure measurement in diagnosing chronic anterior compartment syndrome

C.H. Rorabeck, MD, FRCS C

Division of Orthopaedic Surgery, University Hospital, London, Ontario, Canada

R.B. Bourne, MD, FRCS C

Division of Orthopaedic Surgery, University Hospital, London, Ontario, Canada

P.J. Fowler, MD, FRCS C

Division of Orthopaedic Surgery, University Hospital, London, Ontario, Canada

J.B. Finlay, PhD, PEng

Division of Orthopaedic Surgery, University Hospital, London, Ontario, Canada

Linda Nott, RN

Division of Orthopaedic Surgery, University Hospital, London, Ontario, Canada

Pressure studies were performed in 55 patients (24 with chronic anterior leg pain and 31 asymptomatic recreational athletes). Pressure measurements were recorded at rest, during, and after exercise, using the slit catheter system. Seventeen of the twenty-four pa tients with symptomatic anterior leg pain were diag nosed on the basis of tissue pressure studies as having chronic exertional compartment syndrome. The in creased tissue pressures at rest and after exercise are most helpful in distinguishing those patients likely to benefit from a surgical fasciotomy.




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