Chronic exertional compartment syndrome (CECS) is commonly seen in running athletes, causing lower leg pain, weakness, or neurologic symptoms. A recent study looked at patients 18 years and younger who were treated surgically for CECS. The primary sport most commonly reported was running (25%), followed by soccer (23%), or field hockey (12%), and 50% of patients were multi-sport athletes. 79.5% of patients returned to sports after surgery. Recurrence was found in 18.8% of patients, more commonly in patients undergoing anterior and lateral release only. Legs with only anterior and/or lateral compartment released had 3.4 times the odds of reoperation compared with legs that had all 4 compartments released. Twenty-eight of 250 legs (11.2%) had wound issues that resolved with nonoperative management. No wounds required repeat surgical management.
Source: American Journal of Sports Medicine, published online June 30, 2016