Chronic compartment syndrome of the lower leg: A new diagnostic method using near-infrared spectroscopy and a new technique of endoscopic fasciotomy

Y. Ota, M. Senda, H. Hashizume, H. Inoue

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

A 19-year-old female basketball player had chronic compartment syndrome. During basketball playing, she complained of bilateral lower leg pain that disappeared after several minutes of rest. The intracompartmental pressure in the anterior compartment was 41 mm Hg on the right side and 29 mm Hg on the left side immediately after playing. Prolonged ischemia of the anterior compartment was observed in comparison with four normal controls using near- infrared spectroscopy. Magnetic resonance imaging also revealed that the anterior compartment was mainly affected. Endoscopic fasciotomy was performed using an arthroscope, a transparent outer tube, and a retrograde blade. After the operation, her symptoms disappeared. Three months postoperatively, the anterior compartment pressure decreased and prolonged tissue ischemia improved. Endoscopic fasciotomy allowed us to cut the fascia safely and less invasively. We concluded that this technique is useful in treating chronic compartment syndrome in the anterior compartment of the lower leg.

Original languageEnglish
Pages (from-to)439-443
Number of pages5
JournalArthroscopy
Volume15
Issue number4
DOIs
Publication statusPublished - Jan 1 1999

Keywords

  • Chronic compartment syndrome
  • Endoscopic fasciotomy
  • Lower leg
  • Near-infrared spectroscopy
  • Universal subcutaneous endoscope

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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