Abstract
Chronic exertional compartment syndrome (CECS) is an underdiagnosed cause of chronic exertional leg pain. The syndrome most commonly occurs in young adult recreational runners, elite athletes, and military recruits. CECS is caused by increased intracompartmental pressure within a fascial space; however, the mechanism of why pain occurs is unknown. Symptoms are classically pain in the affected compartment at the same time, distance, or intensity of exercise. CECS is a clinical diagnosis; however, it is confirmed by intracompartmental pressure testing. Fasciotomy is the treatment of choice for athletes who would like to maintain the same level of activity. Athletes who have a release of the anterior and lateral compartments have a high success rate.
Similar content being viewed by others
References
Amendola A, Rorabeck CH, et al. The use of magnetic resonance imaging in exertional compartment syndromes. Am J Sports Med. 1990;18(1):29–34.
Barnes M. Diagnosis and management of chronic compartment syndromes: a review of the literature. Br J Sports Med. 1997;31(1):21–7.
Blackman PG. A review of chronic exertional compartment syndrome. Med Sci Sports Exerc. 2000;32:4–10.
Bong M, Polatsch D, Jazrawi L, et al. Chronic exertional compartment syndrome: diagnosis and management. Hosp Joint Dis. 2005;62:77–84.
Brennan F, Kane S. Diagnosis, treatment options, and rehabilitation of chronic lower leg exertional compartment syndrome. Curr Sport Med Rep. 2003;2:247–50.
Brown R, Rosenberg Z. MR imaging of exercise-induced lower leg pain. Magn Reson Imaging Clin N Am. 2001;9(3):544–7.
Canale S. Campbell’s operative orthopaedics. 9th ed. Philadelphia: Elsevier; 1998. p. 405–1411.
Cook S, Bruce G. Fasciotomy for chronic compartment syndrome in the lower limb. ANZ J Surg. 2002;72(10):720–3.
Coughlin M, Mann R, Saltzman CL. Surgery of the foot and ankle. Philadelphia: Elsevier; 2007. p. 1438–44.
DeLee JC, et al. DeLee and Drez’s orthopaedic sports medicine. Philadelphia: Saunders; 2003. p. 2163–70.
Edwards P, Myerson M. Exertional compartment syndromes of the leg. The Institute for Foot and Ankle Reconstruction. www.footandankle.mdmercy.com/research_pubs/pressItem37.html. Accessed 5 July 1995.
Englund J. Chronic compartment syndrome: tips on recognizing and treating. J Fam Pract. 2005;54(11):955–60.
Frontera W. Essentials of physical medicine and rehabilitation. Canada: Hanley and Belfus; 2002. p. 256–61.
Goldfarb S, Kaeding C. Bilateral acute-on-chronic exertional lateral compartment syndrome of the leg: a case report and review of the literature. Clin J Sports Med. 1997;7:59–62.
Hayes AA, Bower GD, Pitstock KL. Chronic exertional compartment syndrome of the legs diagnosed by thallious chloride scintigraphy. J Nuc Med. 1995;36(9):1618–24.
Howard J, Mohtadi N, Wiley J. Evaluation of outcomes in patients following surgical treatment of chronic exertional compartment syndrome in the leg. Clin J Sports Med. 2000;10:176–84.
Humphries D. Exertional compartment syndromes. Medscape Gen Med. 1999;3:1–7. http://www.medscape.com/viewarticle/408500. Accessed 5 April 1999.
Hutchinson M, Bederka B, Kopplin M. Anatomic structures at risk during minimal-incision endoscopically assisted fascial compartment releases in the leg. Am J Sports Med. 2003;5:764–9.
Illig K, Uriel K, De Weese J, et al. Case report: a condemnation of subcutaneous fasciotomy. Mil Med. 1998;163(11):794–6.
Kitajima I, Tachibana S, Hirota Y, et al. One-portal technique of endoscopic fasciotomy: chronic compartment syndrome of the lower leg. Arthroscopy. 2001;17(8):1–3.
Leversedge F, Casey P, Seiler J, Xerogeanes J. Endoscopically assisted fasciotomy: description of technique and in vitro assessment of lower-leg compartment decompression. Am J Sports Med. 2002;30(2):272–8.
Matsen F, Winquist R, Krugmire R. Diagnosis and management of compartmental syndromes. J Bone Joint Surg. 1980;62:286–91.
Mouhsine E, Garofalo R, Moretti B, et al. Two minimal incision fasciotomy for chronic exertional compartment syndrome of the lower leg. Knee Surg Sports Traumatol Arthrosc. 2006;14:193–7.
Ota Y, Senda M, Hashizume H, et al. Chronic compartment syndrome of the lower leg. Arthroscopy. 1999;15(4):439–43.
Raikin S, Venkat R, Vitanzo P. Bilateral simultaneous fasciotomy for chronic exertional compartment syndrome. Foot Ankle Int. 2005;26:1007–11.
Rowden G. Compartment syndromes. Emedicine. http://www.emedicine.com/SPORTS/topic26.html. Accessed 30 Nov 2006.
Scheltinga MR. Minimally invasive fasciotomy in chronic exertional compartment syndrome and fascial hernias of the anterior lower leg: short and long term results. Mil Med. 2006;171:399–403.
Shah S, Miller B, Kuhn J. Chronic exertional compartment syndrome. Am J Orthop. 2004;33(7):335–41.
Simon R, Sherman S, Koenigsknecht S. Compartment syndrome. Emergency orthopedics: the extremities. New York: McGraw Hill; 2007. p. 76–8, 441–3.
Trease L, Every B, Bennell K, et al. A prospective blinded evaluation of exercise thallium-201 SPET in patients with suspected chronic exertional compartment syndrome of the leg. Eur J Nucl Med. 2001;28(6):688–95.
Tzortziou V, Maffulli N, Padhiar N. Diagnosis and management of chronic exertional compartment syndrome in the United Kingdom. Clin J Sports Med. 2006;16(3):209–13.
Verleisdonk E, Schmitz R, Van der Werken C. Long term results of fasciotomy of the anterior compartment in patients with exercise-induced pain in the lower leg. Int J Sports Med. 2004;25:224–9.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tucker, A.K. Chronic exertional compartment syndrome of the leg. Curr Rev Musculoskelet Med 3, 32–37 (2010). https://doi.org/10.1007/s12178-010-9065-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12178-010-9065-4