Concurrent periostalgia and chronic proximal deep posterior compartment syndrome in a collegiate track and field athlete: a case report

Exercise-induced leg pain may be triggered by abnormally high compartment pressure. In addition to the more widely publicized anterior compartment syndrome, the deep posterior compartment syndrome can just as frequently occur, resulting in severe pain and disability due to muscle and nerve ischemia....

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Bibliographic Details
Published in:Journal of athletic training 2000-10, Vol.35 (4), p.450-452
Main Authors: Heinrichs, K I, Lachowicz, W M, Detmer, D E
Format: Article
Language:English
Subjects:
Athletes
Case Reports
Case studies
College students
Fractures
Legs
Medical diagnosis
Medical Evaluation
Outcomes of Treatment
Pain
Physical Examinations
Running
Sports injuries
Sports medicine
Track & field
Track and Field
Training Methods
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Summary:Exercise-induced leg pain may be triggered by abnormally high compartment pressure. In addition to the more widely publicized anterior compartment syndrome, the deep posterior compartment syndrome can just as frequently occur, resulting in severe pain and disability due to muscle and nerve ischemia. Obtaining a thorough history and compartmental pressure measurements are the usual components in the accurate diagnosis of compartment syndromes. While few other disorders mimic compartment syndromes, differential diagnoses must be considered. Surgical management of deep compartment syndrome, consisting of fasciotomy or fasciectomy, or both, is successful for most patients. Tibial stress fracture or microfracture, tibial periostitis, tibial periostalgia, distal deep posterior chronic compartment syndrome, proximal deep chronic compartment syndrome, superficial lateral compartment syndrome, deep venous thrombosis, popliteal artery entrapment, or chronic compartment syndrome. Chronic deep compartment syndrome is one of the most common causes of exercise-induced leg pain in aerobic athletes. Therefore, the athletic trainer must be able to recognize the condition. Signs, symptoms, diagnosis, and surgical management of chronic deep compartment syndrome, chronic periostalgia, and superficial lateral compartment syndrame in a 21-year-old Division IA track and field athlete are presented. With the correct diagnosis, persistent and methodical reevaluation, and appropriate management, the athlete can expect a successful treatment outcome.
ISSN:1062-6050
1938-162X