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Войти в исследования The American journal of sports medicine · 2011
Long-term results of surgical decompression of chronic exertional compartment syndrome of the forearm in motocross racers.
СтатьяНазвание и аннотация: Перевод в очереди
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Winkes Michiel B, Luiten Ernest J T, van Zoest Wart J F, Sala Harm A, Hoogeveen Adwin R, Scheltinga Marc R
Аннотация
BACKGROUND: Chronic exertional compartment syndrome (CECS) is occasionally observed in the forearm flexor muscles of motocross racers. Long-term results of fasciectomy and fasciotomy for this syndrome are scarce.
PURPOSE: To study the long-term effects of 2 surgical techniques for forearm flexor CECS.
STUDY DESIGN: Case series; Level of evidence, 4.
METHODS: A database of patients with forearm CECS who underwent surgery was analyzed. Long-term pain reduction (visual analog scale [VAS], 0-100) and efficacy were evaluated using a questionnaire.
RESULTS: Data of 24 motocross racers were available for analysis. Intracompartmental pressures during rest, during provocation, and after 1 and 5 minutes of provocation were 15 ± 4, 78 ± 24, 29 ± 10, and 25 ± 7 mm Hg, respectively. Painful sensations in the forearm were reduced from 53 to 7 (median VAS; P < .001). Both fasciectomy (n = 14) and fasciotomy (n = 10) were equally effective. More than 95% (23/24) of the patients were satisfied with the postoperative result after 5 ± 2 years' follow-up.
CONCLUSION: Surgical fasciotomy and fasciectomy of the forearm flexor compartment are equally successful in motocross racers suffering from forearm CECS.
PURPOSE: To study the long-term effects of 2 surgical techniques for forearm flexor CECS.
STUDY DESIGN: Case series; Level of evidence, 4.
METHODS: A database of patients with forearm CECS who underwent surgery was analyzed. Long-term pain reduction (visual analog scale [VAS], 0-100) and efficacy were evaluated using a questionnaire.
RESULTS: Data of 24 motocross racers were available for analysis. Intracompartmental pressures during rest, during provocation, and after 1 and 5 minutes of provocation were 15 ± 4, 78 ± 24, 29 ± 10, and 25 ± 7 mm Hg, respectively. Painful sensations in the forearm were reduced from 53 to 7 (median VAS; P < .001). Both fasciectomy (n = 14) and fasciotomy (n = 10) were equally effective. More than 95% (23/24) of the patients were satisfied with the postoperative result after 5 ± 2 years' follow-up.
CONCLUSION: Surgical fasciotomy and fasciectomy of the forearm flexor compartment are equally successful in motocross racers suffering from forearm CECS.