title: [Chronic exertional compartment syndrome in the lower leg].
abstract: Chronic exertional compartment syndrome (CECS) commonly occurs in young adult runners. The mechanism of pain is unknown. CECS is a clinical diagnosis and is confirmed by intracompartmental pressure testing (IPT). The evidence-based guidance for IPT is sparse. Instead of Pedowitz et al's criteria we recommend one minute after pain triggered exercise IPT ≥ 36 mmHg as diagnostic value. At the moment fasciotomy is the treatment of choice for athletes who would like to maintain the same level of activity, but injection with botulinum toxin type A could be a new useful alternative.
authors.affiliation: Ortopædkirurgisk Afdeling, Slagelse Sygehus, Ingemannsvej 18, 4200 Slagelse. muslundt@gmail.com.
authors.forename: Rasmus Lund
authors.initials: RL
authors.lastname: Hansen
authors.forename: Peter Toquer
authors.initials: PT
authors.lastname: Jessen
mesh_terms: D056352:Athletes; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002908:Chronic Disease; D003161:Compartment Syndromes / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000503:physiopathology; D009339:Needles; D009498:Neurotoxins / Q000627:therapeutic use; D005082:Physical Exertion; D011312:Pressure; D012420:Running; D055815:Young Adult
chemical_list: D009498:Neurotoxins; D019274:Botulinum Toxins, Type A