BMC musculoskeletal disorders | 2024 | Dong Q, Long Y, Jin L, Hou G
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[Indexed for MEDLINE] Conflict of interest statement: The authors declare no competing interests. 13. Cureus. 2022 Jul 27;14(7):e27321. doi: 10.7759/cureus.27321. eCollection 2022 Jul. Chronic Exertional Compartment Syndrome in a Fire Captain. Thakkar R(1), Tran S(1), Gillie M(2), Anderson J(3). Author information: (1)Orthopedic Surgery, St. George's University, School of Medicine, St. George, GRD. (2)Family Medicine, Stanford Health Care, San Jose, USA. (3)Orthopedic Surgery, O'Connor Hospital, San Jose, USA. Chronic exertional compartment syndrome (CECS) is a commonly missed diagnosis. It is caused by an increase in intramuscular pressure which subsequently impedes local tissue perfusion and function. It disproportionately occurs in young females; however, the diagnosis should not be excluded in other demographics. We present a case of CECS in an otherwise healthy 53-year-old male fire captain. He presented with pain upon exertion and neurological deficits in the anterior compartment of his bilateral legs that impacted his occupation and daily functioning. Following fasciotomy, the patient returned to work with complete resolution of pain and neurological deficits. This review seeks to describe the prevalence, etiology, diagnostic criteria, differential diagnosis, and management of CECS of the lower extremities, as described in the literature. Copyright © 2022, Thakkar et al. DOI: 10.7759/cureus.27321 PMCID: PMC9412078
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