SciELO - Scientific Electronic Library Online

vol.10 issue4Misdiagnosis of hip pain could lead to unnecessary spinal surgeryPredictive values of serum nutritional indices for early postoperative wound infections in surgically treated closed femoral fractures author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X


WASSERMANN, D  and  OSCHMAN, Z. Role of ultrasound as a non-invasive method of diagnosis of chronic exertional compartment syndrome. SA orthop. j. [online]. 2011, vol.10, n.4, pp.59-65. ISSN 2309-8309.

Chronic exertional compartment syndrome (CECS) is a well-recognised condition, which can result in significant morbidity and limitation of activity in athletes and non-athletes alike. At present invasive intramuscular pressure (IMP) measurements are still considered the gold standard for diagnosing CECS. The non-invasive nature of ultrasound makes it an attractive alternative to direct IMP measurement. This retrospective study is a literature and case review of 34 subjects with exerciseinduced leg pain who underwent ultrasound compartment measurement for CECS. Eighteen (group P) of 34 were found to be positive. Fifteen of group P demonstrated calf increases of >15 mm and an additional three with increases of <15 mm failed to return to the resting state at 10 mins after exercise. Sixteen subjects demonstrated a normal ultrasound after exercise. At follow-up (1-2 years) a telephonic interview of 25 participants showed that 15 of the 18 with a positive confirmation of CECS had responded well to surgical decompression and 10 of the 16 negative cases had responded well to conservative treatment. This study suggests that ultrasound may be a useful tool for the assessment of CECS.

Keywords : ultrasound; exertional; chronic compartment; syndrome; non-invasive; intramuscular pressure.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License