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KMID : 0950120100090010016
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Jouranl of Korean Orthopaedic Sports Medicine
2010 Volume.9 No. 1 p.16 ~ p.21
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Chronic Compartment Syndrome and Stress Fracture
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Choi Chang-Hyuk
Baek Seung-Hoon
Chang Il-Woong
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Abstract
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The prevalence of overuse syndrome in the lower extremity including chronic compartment syndrome and stress fracture is increasing with popularity of sports activities. Chronic compartment syndrome is defined as elevation of the interstitial pressure during exertional activities in a closed osseofascial compartment that results in microvascular compromise and operative procedures can be necessary if conservative treatments fail. Stress fracture can be classified as fatigue and insufficiency fracture; stress fracture occurs by repeated strain under abnormal conditions from the patient’s activity whereas insufficiency fracture does by those from a process intrinsic to the bone. Most stress fractures occur in the lower extremity, most commonly in the tibial region. Fatigue fractures begin in athletes with the change in their training programs. The radiographic findings are usually diagnostic or at least strongly suggestive and MRI has proven to be a beneficial diagnostic tool for difficult diagnostic cases. Fatigue fractures are treated with a decrease in activity, but surgical procedure may be necessary in those in anterior cortex of the tibial diaphysis.
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KEYWORD
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Sports injury, Overuse syndrome, Chronic compartment syndrome, Fatigue fracture, Fasciotomy
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