![]() ![]() Georg Thieme Verlag, Stuttgart/New Yorkīiedert RM, Marti B (1997) Intracompartmental pressure before and after fasciotomy in runners with chronic deep posterior compartment syndrome. Br J Sports Med 31(1):21–27īauer RK F, Poisel S (1990) In: Bauer RK F, Poisel S (eds) Operative Zugangswege in Orthopädie und Traumatologie, 2nd edn. Am J Sports Med 18(1):29–34īarnes M (1997) Diagnosis and management of chronic compartment syndromes: a review of the literature. ![]() ![]() Surgical treatment is shown to be effective in about 90% of cases.Amendola A, Rorabeck CH, Vellett D, Vezina W, Rutt B, Nott L (1990) The use of magnetic resonance imaging in exertional compartment syndromes. If symptoms do not subside with a conservative approach, fasciotomy is performed to relieve the pressure in the muscle compartment. Massage and stretching exercises involving anterior compartment muscles.Ice application and elevation of the leg to reduce pain and swelling do not elevate above heart level as this may further reduce blood supply to the area.Cessation of physical activities that exacerbate symptoms upper body exercises can be carried out to maintain fitness.Chronic or exertional compartment syndrome may be treated with conservation or using a surgical approach.Untreated cases may lead to kidney failure or other life-threatening complications. The wound may be left open for two or three days. The pressure is released by making long incisions in the covering fascia (fasciotomy). This is a medical emergency and requires immediate surgical intervention. This helps in accurate assessment of the condition and in devising a suitable management plan. There are, however, diagnostic tools available to measure the pressure within a compartment. The diagnosis is usually made by relating the signs and symptoms to an underlying cause such as tibia or fibula fracture or a muscle injury. Decreased blood flow may cause numbness in the toes.There may be an obvious bruise, indicating the underlying injury.Weakness in the muscles when the foot is bent upwards against pressure. ![]()
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