Department of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.
Máxima Medical Center Academy, Máxima Medical Center, Veldhoven, the Netherlands.
Orthop J Sports Med. 2015 Nov 23;3(11):2325967115617728. doi: 10.1177/2325967115617728. eCollection 2015 Nov.
Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). The anterior (ant-CECS) or deep posterior compartment (dp-CECS) is usually affected. Knowledge regarding CECS of the lateral compartment (lat-CECS) is limited.
To describe demographic characteristics and symptoms in a consecutive series of patients with isolated CECS of the lateral compartment of the leg.
Case series; Level of evidence, 4.
Since 2001, patients undergoing dynamic intracompartmental pressure (ICP) measurements for suspected CECS in a single institution were prospectively monitored. Individuals with a history possibly associated with lat-CECS and elevated ICP measurements (Pedowitz criteria) were identified. Exclusion criteria were concomitant ipsilateral ant-CECS/dp-CECS, acute compartment syndrome, recent significant trauma, peroneal nerve entrapment, or vascular claudication.
During an 11-year time period, a total of 26 patients with isolated lat-CECS fulfilled study criteria (15 females; median age, 21 years; range, 14-48 years). Frequently identified provocative sports were running (n = 4), walking (n = 4), field hockey (n = 3), soccer (n = 3), and volleyball (n = 2). Exercise-induced lateral lower leg pain (92%) and tightness (42%) were often reported. The syndrome was bilateral in almost two-thirds (62%, n = 16). Delay in diagnosis averaged 24 months (range, 2 months to 10 years).
Young patients with exercise-induced pain in the lateral portions of the lower leg may suffer from isolated CECS of the lateral compartment. ICP measurements in the lateral compartment in these patients are recommended.
运动引起的小腿疼痛可能是由慢性运动性间隔综合征（CECS）引起的。前（前 CECS）或深后（dp-CECS）间隔通常受到影响。关于外侧（lat-CECS）间隔 CECS 的知识有限。
描述连续系列孤立性小腿外侧间隔 CECS 患者的人口统计学特征和症状。
病例系列；证据水平，4。
自 2001 年以来，在一家机构对疑似 CECS 进行动态间隔内压（ICP）测量的患者进行了前瞻性监测。确定了可能与 lat-CECS 相关且 ICP 测量值升高（佩多威茨标准）的个体。排除标准包括同侧前 CECS/dp-CECS、急性间隔综合征、近期重大创伤、腓总神经卡压或血管性跛行。
在 11 年的时间内，共有 26 例孤立性 lat-CECS 患者符合研究标准（15 例女性；中位年龄 21 岁；范围 14-48 岁）。经常确定的挑衅性运动是跑步（n=4）、步行（n=4）、曲棍球（n=3）、足球（n=3）和排球（n=2）。运动引起的外侧小腿疼痛（92%）和紧绷感（42%）经常被报道。该综合征在近三分之二（62%，n=16）的患者中为双侧。诊断平均延迟 24 个月（范围 2 个月至 10 年）。
运动引起的小腿外侧疼痛的年轻患者可能患有孤立性外侧间隔 CECS。建议对这些患者进行外侧间隔 ICP 测量。
