Best Practice Case Studies-Chronic Exertional Compartment Syndrome

Video Transcription

Video Summary

A 16-year-old female soccer player experienced bilateral exertional lower leg pain, suspected to be chronic exertional compartment syndrome. Diagnosis can involve measuring calf compartment pressure or using MRI without contrast to rule out conditions like medial tibial stress syndrome, stress fractures, or tendinopathy. The Fredrickson classification assesses medial tibial stress syndrome, focusing on periosteal edema, marrow edema, and intracortical changes. The MRI indicates periosteal edema without significant muscle signal abnormalities, ruling out exertional compartment syndrome. For stress fractures or medial tibial stress syndrome, it's critical to differentiate cortex signal abnormalities from vessels by careful image analysis.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 36

Topic Metabolic Disorders

Keywords

2nd Edition, CASE 36

2nd Edition

Metabolic Disorders

chronic exertional compartment syndrome

medial tibial stress syndrome

MRI diagnosis

periosteal edema

stress fractures