![]() For instance, some classify lower leg CECS as either anterolateral or posterior. 6, 12, 19, 28, 30, 31 Differences in incidence are probably due to patient selection or ignoring the lateral compartment as a separate compartment. In contrast, other studies reported that anterior and lateral compartments are frequently involved. Lat-CECS was observed in just 12% of patients (78/678). The present study showed a predilection of anterior (58%, 395/678) or deep posterior (50%, 338/678) CECS. The available lower leg CECS literature is unclear regarding the most frequently affected compartment. The catheter was connected to the manometer and patients were instructed to evert the foot against resistance to confirm correct placement. After needle introduction into the bulky portion of the lateral muscle compartment some 5 to 7 cm distal to the fibular head, the catheter was left in situ and the needle was removed. Before the hollow needle containing the catheter was introduced, the overlying skin was infiltrated with 2 mL of 1% lidocaine. 1, 16 Patients were studied in a supine position with 20° of plantar flexion of the ankle joint and 10° to 30° of flexion of the knee. The measurements were performed using a slit catheter (Indwelling Slit Catheter Set Stryker) connected to an arterial line manometer and a display (pressure monitor device 783547 Hewlett Packard). If findings were suggestive of a lat-CECS, a dynamic ICP measurement of the lateral compartment was performed by 1 of 2 experienced sports medicine physicians (M.C., A.H.). Dynamic ICP MeasurementĪt presentation at the outpatient department of sports medicine, patients underwent history taking and physical examination. The study was approved by our local ethical committee. Between January and July 2014, patient sex, age at time of diagnosis, number of affected legs, symptoms, ICP measurements, and other electronically stored patient data were analyzed. Patients with an acute compartment syndrome, a history of recent trauma or lower leg surgery other than for CECS, or with vascular claudication were excluded. ![]() 20 Additional imaging using radiographs, magnetic resonance imaging (MRI), and bone scans were previously performed at the referring institution in a small subset of patients and excluded other pathologies such as stress fractures or medial tibial stress syndrome. Patients were eligible for the present study if ICP values met the Pedowitz criteria for CECS of the lateral compartment only. Patients with a possible lat-CECS underwent ICP measurements of the affected compartments. However, a pitfall in all CECS patients is the absence of signs and symptoms at rest. Suspicion rose if there was tenderness of the peroneal muscles on palpation. If the patient experienced exercise-induced symptoms, such as pain, in the lateral lower leg, a lat-CECS was suspected. Patients who presented to our department between November 2001 and December 2012 underwent history taking and physical examination. All subjects Allied Health Cardiology & Cardiovascular Medicine Dentistry Emergency Medicine & Critical Care Endocrinology & Metabolism Environmental Science General Medicine Geriatrics Infectious Diseases Medico-legal Neurology Nursing Nutrition Obstetrics & Gynecology Oncology Orthopaedics & Sports Medicine Otolaryngology Palliative Medicine & Chronic Care Pediatrics Pharmacology & Toxicology Psychiatry & Psychology Public Health Pulmonary & Respiratory Medicine Radiology Research Methods & Evaluation Rheumatology Surgery Tropical Medicine Veterinary Medicine Cell Biology Clinical Biochemistry Environmental Science Life Sciences Neuroscience Pharmacology & Toxicology Biomedical Engineering Engineering & Computing Environmental Engineering Materials Science Anthropology & Archaeology Communication & Media Studies Criminology & Criminal Justice Cultural Studies Economics & Development Education Environmental Studies Ethnic Studies Family Studies Gender Studies Geography Gerontology & Aging Group Studies History Information Science Interpersonal Violence Language & Linguistics Law Management & Organization Studies Marketing & Hospitality Music Peace Studies & Conflict Resolution Philosophy Politics & International Relations Psychoanalysis Psychology & Counseling Public Administration Regional Studies Religion Research Methods & Evaluation Science & Society Studies Social Work & Social Policy Sociology Special Education Urban Studies & Planning BROWSE JOURNALS
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |