Thomas Jefferson University Department of Orthopaedics, Philadelphia, PA, USA.
Foot Ankle Int. 2013 Oct;34(10):1349-54. doi: 10.1177/1071100713490919. Epub 2013 May 13.
Chronic exertional compartment syndrome (CECS) is a condition that causes reversible ischemia and lower extremity pain during exercise. To date there are few large studies examining the characteristics of patients with CECS. This study aimed to present these characteristics by examining the largest published series of patients with a confirmed diagnosis of the disorder.
An IRB-approved, retrospective review was undertaken of patients with a suspected diagnosis of CECS undergoing pre- and postexercise compartment pressure testing between 2000 and 2012. Patients were evaluated for gender, age, duration of symptoms, pain level, specific compartments involved, compartment pressure measurements, and participation and type of athletics.
Two-hundred twenty-six patients (393 legs) underwent compartment pressure testing. A diagnosis of CECS was made in 153 (67.7%) patients and 250 (63.6%) legs with elevated compartment measurements; average age of the patients was 24 years (range, 13-69 years). Female patients accounted for 92 (60.1%) of those with elevated pressures. Anterior and lateral compartment pressures were elevated most frequently, with 200 (42.5%) and 167 (35.5%) compartments, respectively. One hundred forty-one (92.2%) patients reported participation in sports, with running being the most common individual sport and soccer being the most common team sport. Duration of pain prior to diagnosis averaged 28 months.
Although there is ample literature pertaining to the diagnostic criteria and treatment algorithm of the condition, few papers have described the type of patient most likely to develop CECS. This is the largest study to date to evaluate the type of patient likely to present with chronic exertional compartment syndrome.
Level III, retrospective review.
慢性运动性间隔综合征（CECS）是一种在运动过程中导致可逆性缺血和下肢疼痛的疾病。迄今为止，很少有大型研究检查 CECS 患者的特征。本研究旨在通过检查最大的已发表的确诊患者系列来介绍这些特征。
对 2000 年至 2012 年间接受疑似 CECS 患者进行术前和术后间隔压力测试的患者进行了一项 IRB 批准的回顾性研究。对患者的性别、年龄、症状持续时间、疼痛程度、受累特定间隔、间隔压力测量值以及参与和运动类型进行了评估。
226 名患者（393 条腿）接受了间隔压力测试。153 名（67.7%）患者和 250 名（63.6%）腿的间隔测量值升高，诊断为 CECS；患者的平均年龄为 24 岁（范围，13-69 岁）。女性患者占压力升高者的 92 例（60.1%）。前侧和外侧间隔压力升高最常见，分别为 200 例（42.5%）和 167 例（35.5%）。141 名（92.2%）患者报告参与运动，跑步是最常见的个人运动，足球是最常见的团体运动。诊断前疼痛持续时间平均为 28 个月。
尽管有大量文献涉及该疾病的诊断标准和治疗方案，但很少有文献描述最有可能患上 CECS 的患者类型。这是迄今为止评估最有可能出现慢性运动性间隔综合征的患者类型的最大研究。
III 级，回顾性研究。
