Ultrasound-Guided, Percutaneous Needle Fascial Fenestration for the Treatment of Chronic Exertional Compartment Syndrome: A Case Report

Abstract Chronic exertional compartment syndrome (CECS) involves a painful increase in compartment pressure caused by exercise and relieved by rest. The most common site for CECS in the lower extremity is the anterior leg compartment. We report a case of a collegiate athlete with bilateral anterior...

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Bibliographic Details
Published in:PM & R 2016-03, Vol.8 (3), p.286-290
Main Authors: Finnoff, Jonathan T., DO, Rajasekaran, Sathish, MD
Format: Article
Language:English
Subjects:
Adolescent
Chronic Disease
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Compartment Syndromes - surgery
Female
Humans
Leg - diagnostic imaging
Needles
Physical Exertion
Physical Medicine and Rehabilitation
Surgery, Computer-Assisted - instrumentation
Ultrasonography, Interventional - methods
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Summary:Abstract Chronic exertional compartment syndrome (CECS) involves a painful increase in compartment pressure caused by exercise and relieved by rest. The most common site for CECS in the lower extremity is the anterior leg compartment. We report a case of a collegiate athlete with bilateral anterior and lateral leg compartment CECS who was successfully treated with an ultrasound-guided, percutaneous needle fascial fenestration of the affected compartments in both legs and was able to return to full, unrestricted activity within 1 week of the procedure. This case highlights the potential application of this procedure for the treatment of anterior and lateral leg CECS.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2015.08.015