How To Diagnose And Treat Chronic Exertional Compartment Syndrome

Robert J. Duggan, DPM, Alan A. MacGill, DPM, Christopher L. Reeves, DPM, and Scott P. Goldstein, DPM

   Endoscopically assisted release improves visualization and minimizes the risk of incomplete compartment decompression and inadvertent neurovascular injuries, subsequently improving patient outcomes.1,3 Endoscopically assisted fasciotomy for CECS in the anterior and lateral compartments of the lower leg is a safe and reliable technique with excellent outcomes and patient satisfaction.6,13

Dr. Duggan is an Attending Physician with the Florida Hospital East Orlando Residency Training Program in Orlando, Fla. He is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. MacGill is the Chief Resident of Foot and Ankle Surgery at Florida Hospital East Orlando.

Dr. Reeves is an Attending Physician with the Florida Hospital East Orlando Residency Training Program. He is a Fellow of the American College of Foot and Ankle Surgeons and a Diplomate of the American Board of Podiatric Surgery.

Dr. Goldstein is an Associate of the American College of Foot and Ankle Surgeons. He practices in Ocala, Fla.

Dr. Richie is an Adjunct Associate Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt College. He is a Past President of the American Academy of Podiatric Sports Medicine.

For further reading, see “How To Detect And Treat Chronic Compartment Syndrome” in the December 2002 issue of Podiatry Today.

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10. Hutchinson MR, Bederka B, Kopplin M. Anatomic structures at risk during minimal-incision endoscopically assisted fascial compartment release in the leg. Am J Sports Med 2003; 31(5):764-769.
11. Tzortziou V, Maffulli N, Padhiar N. Diagnosis and management of chronic exertional compartment syndrome in the United Kingdom. Clin J Sport Med 2006; 16(3):209-213.
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