A technique for arthroscopic fasciotomy for the chronic exertional tibialis anterior compartment syndrome

Chronic exertional anterior compartment syndrome (CECS) is a condition that causes pain over the front of the shin bone that usually occurs in physically active people, especially runners. It may require sometimes an immediate fasciotomy. A longitudinal incision just over the fibula has used as surg...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2008-05, Vol.16 (5), p.531-534
Main Authors: Sebik, Ahmet, Doğan, Ali
Format: Article
Language:English
Subjects:
Adult
Anterior Compartment Syndrome - physiopathology
Anterior Compartment Syndrome - surgery
Arthroscopy - methods
Athletes
Chronic Disease
Compartment syndrome
Endoscopy
Exercise
Fasciotomy
Female
Follow-Up Studies
Hernias
Humans
Legs
Male
Medicine
Medicine & Public Health
Orthopedics
Pain
Sports - physiology
Sports Medicine
Surgical techniques
Treatment Outcome
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Summary:Chronic exertional anterior compartment syndrome (CECS) is a condition that causes pain over the front of the shin bone that usually occurs in physically active people, especially runners. It may require sometimes an immediate fasciotomy. A longitudinal incision just over the fibula has used as surgical treatment bad cosmetic appearance. Although nowadays mini surgical incisions are preferred. The aim of this study to evaluate a simple fasciotomy technique with a minimal incision by using arthroscope. Nine legs of six patients that diagnosed as CECS has underwent fasciotomy operation with a 1 cm incision. Complaints had disappeared after operation. The mean follow-up time is 2 years. The results were good all of the patients and they never experienced exertional pain episodes. The arthroscopic assisted mini incisional fasciotomy technique has advantage such as early rehabilitation and good cosmetic appearance.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-007-0454-1