A síndrome compartimental crônica em atletas

Abstract: Chronic compartment syndrome (CCS) is a pressure increase within a non-expandable fibro-osseous space resulting from continuous and intense physical activity. Its symptoms usually improve with rest or reduced activity. It is a critical cause of lower limb pain in athletes and the second most common cause of effort-related leg pain. Less frequent reports include CCS in the lumbar paravertebral compartments, in the hand, the forearm, the thigh, and the foot. Although CCS mainly affects long-distance runners, it may also occur in sports such as lacrosse, football, basketball, skiing, and field hockey. Muscle tension, cramps, symptoms worsening with physical exercise, pain, and reduced sensitivity in the upper part of the foot are the main CCS findings, and diagnosis is essentially clinical. Even though controversial and with some limitations, CCS diagnosis has relied on measuring the intracompartmental pressure after exercise. However, new alternative tools are under study, particularly those less invasive, such as magnetic resonance imaging (MRI) after the exercise protocol. For years, open fasciotomy was the most relevant treatment for CCS in athletes, but new surgical techniques are gaining importance, such as minimally-invasive fasciotomy and endoscopic procedures. Some conservative therapies hold promise as potential alternatives for patients who do not want surgery, but robust evidence to support them remains lacking, especially for athletes.

Alternative title
Chronic Compartment Syndrome in Athletes
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Portugiesisch

Bibliographic citation
A síndrome compartimental crônica em atletas ; day:15 ; month:07 ; year:2024
Revista Brasileira de ortopedia ; (15.07.2024)

Contributor
Jorge, Pedro Baches
Toledo, Mariana Belaunde
Mari, Flora Chaves
Toledo, Rodrigo Ruas Floriano de
Lima, Marcos Vaz de
Sprey, Jan Willem Cerf

DOI
10.1055/s-0044-1787766
URN
urn:nbn:de:101:1-2408291028086.616236682080
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:36 AM CEST

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Associated

  • Jorge, Pedro Baches
  • Toledo, Mariana Belaunde
  • Mari, Flora Chaves
  • Toledo, Rodrigo Ruas Floriano de
  • Lima, Marcos Vaz de
  • Sprey, Jan Willem Cerf

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