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Chronic Exertional Compartment Syndrome

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Location: http://www.physsportsmed.com/issues/1999/05_99/hutchinson.htm

Description: Chronic Exertional Compartment Syndrome Gauging Pressure Mark R. Hutchinson, MD; Mary Lloyd Ireland, MD Department Editor: William O. Roberts, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 27 - NO. 5 - MAY 1999 Compartment syndromes are potentially serious problems in athletes. Acute compartment syndrome is an emergency that usually requires prompt surgical treatment. Chronic exertional compartment syndrome (CECS), though less serious, is painful and persistent and may halt physical activity, so primary care physicians should be able to recognize CECS in athletes. Measuring compartment pressure is an effective way to confirm the diagnosis of CECS. Several measurement methods and devices are available (1,2): Whiteside's technique, using intravenous (IV) tubing, a three-way stop-cock, and a wall blood pressure gauge; the wick catheter technique, employing a specially prepared catheter that is connected to a pressure transducer; the continuous infusion technique, utilizing an ordinary needle or IV catheter, a pressure transducer, and a syringe infusion pump; and a commercially available, battery-operated, hand-held device, the Stryker Intracompartmental Pressure Monitor System (Stryker Instruments, Kalamazoo, Michigan). The first three techniques all require some practice to use effectively, and thus they may not be good choices for physicians who see patients with compartment syndrome only occasionally or rarely. The Stryker device, however, is simple enough to operate that physicians can reasonably expect to get accurate results even with only occasional use. Accordingly, measurement of compartment pressure with this device is our focus here.

Type: Lecture/Presentation
Author/Contact: Hutchinson & Ireland
Institution: Not available
Primary Subject/Category:

Language: English

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Added: Sun May 07 2006