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Syllabus and course notes of Texas A & M University course on Athletic Training/Athletic Injury Assessment

Chronic Exertional Compartment Syndrome Gauging Pressure Mark R. Hutchinson, MD; Mary Lloyd Ireland, MD Department Editor: William O. Roberts, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 27 - NO. 5 - MAY 1999 Compartment syndromes are potentially serious problems in athletes. Acute compartment syndrome is an emergency that usually requires prompt surgical treatment. Chronic exertional compartment syndrome (CECS), though less serious, is painful and persistent and may halt physical activity, so primary care physicians should be able to recognize CECS in athletes. Measuring compartment pressure is an effective way to confirm the diagnosis of CECS. Several measurement methods and devices are available (1,2): Whiteside's technique, using intravenous (IV) tubing, a three-way stop-cock, and a wall blood pressure gauge; the wick catheter technique, employing a specially prepared catheter that is connected to a pressure transducer; the continuous infusion technique, utilizing an ordinary needle or IV catheter, a pressure transducer, and a syringe infusion pump; and a commercially available, battery-operated, hand-held device, the Stryker Intracompartmental Pressure Monitor System (Stryker Instruments, Kalamazoo, Michigan). The first three techniques all require some practice to use effectively, and thus they may not be good choices for physicians who see patients with compartment syndrome only occasionally or rarely. The Stryker device, however, is simple enough to operate that physicians can reasonably expect to get accurate results even with only occasional use. Accordingly, measurement of compartment pressure with this device is our focus here.

Exertional Compartment Syndrome of the Leg: Steps for Expedient Return to Activity Peter Edwards, MD; Mark S. Myerson, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 4 - APRIL 96 In Brief: The pain and swelling associated with exertional compartment syndrome is caused by raised intracompartmental pressures possibly induced by muscle swelling or increased osmotic pressure. Although either the acute or chronic form of exertional compartment syndrome may occur, chronic is more common. Patients typically experience pain and swelling and may also have sensory deficits or paresthesias, and motor loss or weakness. Diagnosis is confirmed by intracompartmental pressure measurements before and after exercise. Although activity modification may alleviate symptoms, fasciotomy may be required.

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AAOS Symposium - 1999 Moderator Moderator(s): Letha Y Griffin, MD, Atlanta, GA - Participants - Elizabeth A Arendt, MD, Minneapolis, MN Peter J Fowler, MD, London, ON, CANADA William E Garrett Jr, MD, PhD, Chapel Hill, NC James G Garrick, MD, San Francisco, CA Edward M Wojtys, MD, Ann Arbor, MI

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What The Institute for Preventative Sports Medicine is all about. This site has the general mission and goals of our nonprofit research organization that prevents sporting injuries and focuses on health care cost containment.

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The SportsMed Web is an educational project designed to provide health information for athletes. There is material here which covers training, injuries, and competition. Although geared more towards endurance exercise, the information is broad enough to a