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Study: Chronic exertional compartment syndrome recurrence more common with anterior, lateral release only
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Recently published results showed 18.8% of patients experienced recurrent chronic exertional compartment syndrome, which more commonly occurred in pediatric patients who underwent anterior and lateral release only.
Researchers recorded demographic and condition characteristics, operative procedure, postoperative course and clinical outcomes in 286 legs of 155 pediatric patients (88% girls) surgically treated for chronic exertional compartment syndrome (CECS) with compartment release. Results showed all patients presented with leg pain, with 5% reporting neurological symptoms and 85% presenting with bilateral symptoms that required bilateral compartment release. Researchers found 25% of patients reported running as their primary sport, followed by soccer (23%) and field hockey (12%). Overall, 50% of patients reported being multisport athletes, according to results.
Researchers found 48% of legs had only the anterior and/or lateral compartments released and 29.4% of legs had all four compartments released. Results showed 79.5% of patients returned to sport. In an outcome analysis of 250 of 286 legs, after initial compartment release, 18.8% experienced recurrent CECS that required reoperation at a median of 1.3 years. According to results, the odds of CECS recurrence decreased by 12% for each additional month between presentation and release. Researchers found a 3.4-times odds of reoperation among legs that underwent only anterior and/or lateral compartment release vs. legs that had all four compartments released. – by Casey Tingle
Disclosures: Beck reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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