Ultrasound-Guided, Percutaneous Needle Fascial Fenestration for the Treatment of Chronic Exertional Compartment Syndrome: A Case Report.
Chronic exertional compartment syndrome (CECS) involves a painful increase in compartment pressure caused by exercise and relieved by rest. The most common site for CECS in the lower extremity is the anterior leg compartment. We report a case of a collegiate athlete with bilateral anterior and lateral leg compartment CECS who was successfully treated with an ultrasound-guided, percutaneous needle fascial fenestration of the affected compartments in both legs and was able to return to full, unrestricted activity within 1 week of the procedure. This case highlights the potential application of this procedure for the treatment of anterior and lateral leg CECS.
Department of Physical Medicine and Rehabilitation, School of Medicine, Mayo Clinic, Rochester, MN; Mayo Clinic Sports Medicine Center, 600 Hennepin Ave, #310, Minneapolis, MN 55403; Department of Physical Medicine and Rehabilitation, School of Medicine, University of California-Davis, Sacramento, CA(∗). Electronic address: finnoff.jonathan@mayo.edu.
Jonathan T
JT
Finnoff
Department of Orthopaedics and Rehabilitation, University of Iowa Sports Medicine, Iowa City, IA; Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, Alberta, Canada(†).
Sathish
S
Rajasekaran
D000293:Adolescent; D002908:Chronic Disease; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D009339:Needles; D005082:Physical Exertion; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D018084:Ultrasonography, Interventional / Q000379:methods*