![]() The muscular compartment becomes tight and painful preventing further athletic participation. CECS is more common in running athletes and is characterized by exercise-induced increases in compartment soft tissue pressures that are reproducible with activity and resolve with rest. ACS has been described in almost all fascia-enclosed compartments of the body including leg, thigh, hand, forearm, foot, etc.Ĭontrary to the Acute Compartment Syndrome, Chronic Exertional Compartment Syndrome (CECS) is not a medical emergency. Patients with ACS present with severe pain worsened by a passive stretch, muscle compartment tightness, paresthesia (sensory deficit/tingling), pallor (pale/pink skin) and absence or decrease in distal pulses. ACS requires urgent surgical attention to avoid permanent damage to the involved muscles. It usually follows fractures, soft tissue crush injuries, blood vessel injuries or other traumatic decrease in blood flow. Acute Compartment Syndrome (ACS) is an orthopedic emergency often associated with large increase in tissue pressure. ![]() This condition can be either acute or chronic. By Asheesh Bedi, MD and Adnan Cutuk, MD What is Chronic Exertional Compartment Syndrome?Ĭompartment syndrome is a condition defined as increased pressure within the muscle and its surrounding tissue envelope (“fascia”) resulting in a reduced blood flow, pain, and possible muscle injury within the compartment. ![]()
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