caa a22 4500 605457263 CHVBK 20210128100222.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00167-014-2847-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2847-2 The natural course of chronic exertional compartment syndrome of the lower leg [Elektronische Daten] [W. Van der Wal, P. Heesterbeek, J. Van den Brand, E. Verleisdonk] Purpose: The aim of this study was to investigate the natural course of chronic exertional compartment syndrome (CECS) in the lower leg. Methods: Twelve military men [mean age 30 (SD 4)] diagnosed with CECS after intracompartmental pressure (ICP) measurements immediately post-exercise in 21 legs, who did not undergo a fasciotomy, were reviewed and participated in a repeat pressure measurement after a mean time of 50months (SD 15). Results: Sixteen of 21 legs still showed an ICP of 35mm Hg or more (the cut-off point) at the second visit. All twelve patients still had typical complaints. Mean ICP at index measurement was 58 (SD 15) mm Hg. At the second visit, it was 51 (SD 15) mm Hg. Six patients chose to undergo a subcutaneous fasciotomy, and these six patients all benefited in the short term. Conclusion: The natural course of CECS seems to be persistent symptoms over time. Level of evidence: Case series with no comparative group, Level IV. Springer-Verlag Berlin Heidelberg, 2014 Chronic exertional compartment syndrome nationallicence Lower leg nationallicence Fasciotomy nationallicence Anterior compartment nationallicence Van der Wal W. Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands aut Heesterbeek P. Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands aut Van den Brand J. Department of General Surgery, Central Military Hospital, Utrecht, The Netherlands aut Verleisdonk E. Department of General Surgery, Central Military Hospital, Utrecht, The Netherlands aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2136-2141 0942-2056 23:7<2136 2015 23 167 https://doi.org/10.1007/s00167-014-2847-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2847-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Van der Wal W. Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands aut NATIONALLICENCE 700 1- Heesterbeek P. Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands aut NATIONALLICENCE 700 1- Van den Brand J. Department of General Surgery, Central Military Hospital, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Verleisdonk E. Department of General Surgery, Central Military Hospital, Utrecht, The Netherlands aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2136-2141 0942-2056 23:7<2136 2015 23 167