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The American Journal of Sports Medicine 21:811-817 (1993)
© 1993 SAGE Publications

Surgical management of exertional compartment syndrome of the lower leg

Long-term followup

Anthony A. Schepsis, MD

Department of Orthopaedic Surgery and Sports Medicine, Boston University Medical Center, Boston, Massachusetts

Douglas Martini, MD

Department of Orthopaedic Surgery and Sports Medicine, Boston University Medical Center, Boston, Massachusetts

Michael Corbett, MD

Department of Orthopaedic Surgery and Sports Medicine, Boston University Medical Center, Boston, Massachusetts

Forty-six limbs in 28 patients were surgically treated for exertional compartment syndrome. One group of 16 patients (26 limbs) underwent a fasciotomy for ex ertional anterior compartment syndrome (Group 1). A second group of 12 patients (20 limbs) underwent a fasciotomy for exertional deep posterior compartment syndrome (Group 2). Patients in Group 2 experienced symptoms for a significantly longer time than those in Group 1:16 versus 6.8 months (P < 0.01). All three of the pressure measurements used in this study (resting pressure, 1 minute after exercise, and 5 minutes after exercise) were significantly higher in both groups than in normal controls (P < 0.01). The 1 minute after exercise values were significantly higher in Group 1 (mean, 36.5) than in Group 2 (mean, 29.1) (P < 0.01). In Group 1, 25 of 26 limbs (96%) had excellent results. In Group 2,13 of 20 limbs (65%) had satisfactory results (5 excellent and 8 good) and 7 (35%) had unsatisfactory results (4 fair and 3 poor). Those patients who had an unsatisfactory outcome did so within 6 months. Pa tients in Group 1 had a significantly higher rate of satisfactory results than those in Group 2 (P < 0.05).




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