Ultrasound-Guided Percutaneous Fasciotomies for Patients With Chronic Exertional Compartment Syndrome

Ultrasound-Guided Percutaneous Fasciotomies for Patients With Chronic Exertional Compartment Syndrome

Blog Article

Chronic exertional compartment syndrome is a well-described potential cause of leg pain in high-level athletes and soldiers.Surgical treatment of chronic exertional compartment syndrome usually involves fasciotomy, with a reported rumchata proof rate of complications of up to 16%, including failure of complete compartmental release and delayed return to normal daily activity, which can take up to 6 to 12 weeks.The use of a minimally invasive approach under ultrasound guidance seems to improve clinical outcomes in young active patients.

We recommend the following illumivein steps for effective execution of ultrasound-guided percutaneous fasciotomy: (1) location of the compartmental fascia and identification of the superficial peroneal nerve, (2) skin incision, (3) insertion of a hook under the compartmental fascia, and (4) sectioning of the fascia.