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Ultrasound catheter placement for deep posterior compartment pressure measurements in chronic compartment syndrome

Department of Family Practice, University of Calgary Sports Medicine Centre, Calgary, Alberta, Canada

W. Bruce Short, MD

Department of RadiologyUniversity of Calgary Sports Medicine Centre, Calgary, Alberta, Canada

David A. Wiseman, MD

Department of Radiology, University of Calgary Sports Medicine Centre, Calgary, Alberta, Canada

Stephen D. Miller, MD

Department of Orthopedics, Foothills Hospital, University of Calgary, University of Calgary Sports Medicine Centre, Calgary, Alberta, Canada

Medial shin pain, often referred to as shin splints, is a common but difficult to diagnose entity in many ath letes. Chronic deep posterior compartment syndrome as a cause of medial leg pain is still controversial. The problems of deep posterior compartment pressure measurement contribute to this controversy. These problems include safety of catheter insertion and the possibility that the patient has more than one deep posterior compartment. In this paper, we present a new technique for catheter placement in which continuous ultrasound guidance is used. This technique allows for the safe placement of the catheter into the deep pos terior compartment and for documentation of catheter tip location.

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