Article Text

Chronic exertional compartment syndrome of the deep posterior lower leg
  1. Michiel B Winkes,
  2. Marc R Scheltinga
  1. Department of General Surgery, Máxima Medical Center, Veldhoven, The Netherlands
  1. Correspondence to Dr. Michiel B Winkes; m.winkes{at}

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What did I do?

The general aim was to study several aspects of diagnosis and treatment of chronic exertional compartment syndrome of the deep posterior lower leg (dp-CECS) and to identify possible causes for poor outcome after surgery.1 First, we performed a review of current practice regarding dp-CECS. Second, we sought to establish a relationship between elevated intracompartmental muscle pressures (being the gold diagnostic standard of CECS at present) and postoperative outcome.2 Third, the accuracy of catheter placement for intracompartmental pressure measurements was studied.3 Finally, patients with isolated dp-CECS were prospectively studied 3 and 12 months after surgery whereas reasons for an unsuccessful response were identified.4

Why did I do it?

Up to 27 per cent of healthy individuals presenting with exertional leg pain may suffer from CECS. Roughly half harbour a dp-CECS. Symptoms are often so disabling that sports activities are impossible. In …

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