Chronic Exertional Compartment Syndrome in a High School Soccer Player
Chronic exertional compartment syndrome (CECS) is a relatively rare condition that affects young adult athletes and often causes them to present to the emergency department. If left untreated, those who continue to compete at high levels may experience debilitating leg pain. Physicians may have diff...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/965257 |
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| author | James J. Bresnahan William L. Hennrikus |
| author_facet | James J. Bresnahan William L. Hennrikus |
| author_sort | James J. Bresnahan |
| collection | DOAJ |
| description | Chronic exertional compartment syndrome (CECS) is a relatively rare condition that affects young adult athletes and often causes them to present to the emergency department. If left untreated, those who continue to compete at high levels may experience debilitating leg pain. Physicians may have difficulty differentiating CECS from other syndromes of the lower leg such as medial tibial stress syndrome, stress fractures, and popliteal artery entrapment. The gold standard for diagnosing CECS is intramuscular compartment pressure monitoring before and/or after 10 minutes of exercise. Some patients may choose to stop participation in sports in order to relieve their pain, which otherwise does not respond well to nonoperative treatments. In patients who wish to continue to participate in sports and live an active life, fasciotomy provides relief in 80% or more. The typical athlete can return to training in about 8 weeks. This is a case of a high school soccer player who stopped competing due to chronic exertional compartment syndrome. She had a fascial hernia, resting intramuscular pressure of 30 mmHg, and postexercise intramuscular pressure of 99 mmHg. Following fasciotomy she experienced considerable life improvement and is once again training and playing soccer without symptoms. |
| format | Article |
| id | doaj-art-3a25dbd889484f43ba49fe0fb99c9d22 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-3a25dbd889484f43ba49fe0fb99c9d222025-02-03T01:07:54ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/965257965257Chronic Exertional Compartment Syndrome in a High School Soccer PlayerJames J. Bresnahan0William L. Hennrikus1Penn State Hershey College of Medicine, 500 University Drive, Hershey, PA 17033, USAPenn State Hershey College of Medicine, 500 University Drive, Hershey, PA 17033, USAChronic exertional compartment syndrome (CECS) is a relatively rare condition that affects young adult athletes and often causes them to present to the emergency department. If left untreated, those who continue to compete at high levels may experience debilitating leg pain. Physicians may have difficulty differentiating CECS from other syndromes of the lower leg such as medial tibial stress syndrome, stress fractures, and popliteal artery entrapment. The gold standard for diagnosing CECS is intramuscular compartment pressure monitoring before and/or after 10 minutes of exercise. Some patients may choose to stop participation in sports in order to relieve their pain, which otherwise does not respond well to nonoperative treatments. In patients who wish to continue to participate in sports and live an active life, fasciotomy provides relief in 80% or more. The typical athlete can return to training in about 8 weeks. This is a case of a high school soccer player who stopped competing due to chronic exertional compartment syndrome. She had a fascial hernia, resting intramuscular pressure of 30 mmHg, and postexercise intramuscular pressure of 99 mmHg. Following fasciotomy she experienced considerable life improvement and is once again training and playing soccer without symptoms.http://dx.doi.org/10.1155/2015/965257 |
| spellingShingle | James J. Bresnahan William L. Hennrikus Chronic Exertional Compartment Syndrome in a High School Soccer Player Case Reports in Orthopedics |
| title | Chronic Exertional Compartment Syndrome in a High School Soccer Player |
| title_full | Chronic Exertional Compartment Syndrome in a High School Soccer Player |
| title_fullStr | Chronic Exertional Compartment Syndrome in a High School Soccer Player |
| title_full_unstemmed | Chronic Exertional Compartment Syndrome in a High School Soccer Player |
| title_short | Chronic Exertional Compartment Syndrome in a High School Soccer Player |
| title_sort | chronic exertional compartment syndrome in a high school soccer player |
| url | http://dx.doi.org/10.1155/2015/965257 |
| work_keys_str_mv | AT jamesjbresnahan chronicexertionalcompartmentsyndromeinahighschoolsoccerplayer AT williamlhennrikus chronicexertionalcompartmentsyndromeinahighschoolsoccerplayer |