Early and accurate diagnosis is hindered by a lack of a clear diagnostic criteria for CECS. Increased risk also was seen among lower ranked individuals, females, white race, and within the army branch of the armed forces ( 4).ĭiagnosis of CECS can be difficult, given the wide range of pathologies that may cause lower-extremity pain. servicemen per year were diagnosed with CECS. One large retrospective review of all United States military recruits found that, out of a population of 8.3 million military members, an incidence of 0. It may, however, encompass much of the differential for CECS, including medial tibial stress syndrome (MTSS), muscle strain, and stress fracture.Ĭhronic exertional compartment syndrome also is common among military recruits given the high stresses of basic training as well as the rapid increase in exertional requirements that occur at boot camp. Often, this lower-extremity exertional pain is grouped into the common term of “shin splints” by athletes, which is a nondiagnostic term that implies no specific pathology. As such, CECS is one of the wide range of causes of exercise-related leg pain (ERLP), especially in athletes.ĮRLP in the athletic population is a common complaint, with reports of up to 15% of all runners arriving to initial evaluation with this presentation ( 3). In theory, CECS can affect any muscular compartment however, only 5% of cases affect the forearms, thighs, hands, and feet, while the remaining 95% occur in the leg ( 2). Chronic exertional compartment syndrome (CECS) is defined as a transient increase in compartment pressures during physical activity, which causes pain, because of the inability of the fascial compartments to accommodate and is usually relieved by cessation of exercise ( 1).
0 Comments
Leave a Reply. |