Department of Wellness and Movement Sciences (Athletic Training Program), Eastern Washington University, Cheney.
Northwest Specialty Hospital, Post Falls, ID.
J Athl Train. 2023 Apr 1;58(4):345-348. doi: 10.4085/85.22.
A 34-year-old female athlete experienced pain, tightness, and sensation changes in her lower legs and feet when reaching approximately 1 mile (1.6 km) of her run. After a wick catheter test, an orthopaedic surgeon diagnosed her with chronic exertional compartment syndrome (CECS) and declared her eligible to undergo fasciotomy surgery. A forefoot gait is theorized to delay the symptom onset of CECS and decrease the amount of discomfort the runner experiences. The patient opted for a 6-week gait retraining program to try to alleviate her symptoms nonsurgically. The purpose of our report is to provide information about the contributing factors of CECS and to determine if gait retraining is an effective alternative to invasive surgery. After 6 weeks of gait retraining, the patient was able to run without experiencing any CECS symptoms. Also, her compartment pressures were reduced, leading the surgeon to no longer recommend fasciotomy.
一位 34 岁的女运动员在跑步约 1 英里（1.6 公里）时，出现小腿和脚部疼痛、紧绷和感觉改变。在 Wick 导管试验后，骨科医生诊断她患有慢性运动性间隔综合征（CECS），并宣布她有资格接受筋膜切开术。前脚步态理论上可以延迟 CECS 的症状发作，并减少跑步者的不适程度。患者选择了 6 周的步态再训练计划，试图非手术缓解症状。我们报告的目的是提供有关 CECS 致病因素的信息，并确定步态再训练是否是侵入性手术的有效替代方法。经过 6 周的步态再训练，患者跑步时不再出现 CECS 症状。此外，她的间隔压降低，导致外科医生不再建议进行筋膜切开术。
