From: Subject: Surgery for anterior compartment syndrome Date: Sat, 26 Apr 2008 20:47:35 +0100 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C8A7DE.C18A6530" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C8A7DE.C18A6530 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.sportsinjuryclinic.net/cybertherapist/front/lowerleg/anterior_compartment/surgery.php =EF=BB=BF Surgery for anterior compartment syndrome
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= Sports=20 Injuries > Lowerleg=20 and ankle > Compartment=20 syndrome > Surgery

Anterior=20 Compartment | Cold=20 Therapy | Sports=20 Massage | Taping | Surgery=20
 
 
3D"sprained

Surgery (Anterior compartment=20 = syndrome)

 

The following sports massage guide is = intended for information purposes only. = We=20 recommend seeking professional advice = before=20 attempting any self help treatment.

When might surgery be = indicated?

  • A history of chronic compartment = syndrome /=20 long standing problem (most important).=20
  • A 1 minute post exercise compartment = pressure greater than 30 mmHg (not = essential).=20
  • The presence of a defect in the = fascia=20 (sheath) of the muscle.=20
  • A stress fracture of the lower leg = must be=20 ruled out before considering surgery. =

What does surgery involve?

  • Surgery involves a fasciotomy which = divides=20 the fascia longitudinally over the = entire length=20 of the involved compartment. In other = words a=20 cut is made down the length of the = muscle sheath=20 to allow the pressure in the muscle to = be=20 released.=20
  • This is done either by a one or two = incision=20 technique. The advantage of the single = incision=20 technique is that only one cut is made = into the=20 leg, the disadvantage is that it is more = difficult to ensure the compartment is=20 completely released. The disadvantage of = the two=20 incision technique is there will be more = scarring of the leg.

The single incision technique:

  • A single incision 5 to 6 cm long is = made in=20 the middle and 1 cm back from the tibia = bone.=20
  • The fascia over the superficial = compartment=20 is cut up and down the leg.=20
  • Retractors are used to expose the = tibialis=20 posterior muscle and the fascia is cut = along its=20 length.

What happens afterwards?

  • Immediately afterwards a compressive = dressing is applied. A drain is not = usually=20 needed.=20
  • The patient may need crutches for a = few=20 days.=20
  • Active (patient moves) and passive = (patient=20 is moved) mobility exercises should = begin=20 immediately.=20
  • Once the wound has healed, walking = and=20 cycling are encouraged.=20
  • After 2 weeks it may be possible to = jog but=20 no running for at least 6 weeks.=20
  • It may take 3 months before recovery = is=20 complete.

Are there any complications?

  • Most complications are due to damage = to the=20 nerves or blood vessels. A damaged nerve = may=20 result in permanent numbness and = possibly a=20 painful neuroma.=20
  • Symptoms of posterior deep = compartment=20 syndrome may return if the compartment = is not=20 properly released or if it is allowed to = scar=20 through poor mobilization after the = operation.=20
  • Persistent nerve irritation may = occur due to=20 the nerve rubbing against the incised = fascia.=20
  • Some patients may experience mild = weakness=20 in the lower leg.

 



Tibialis=20 Anterior=20 = Muscle

=

 

 
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FONT-SIZE: 12px; COLOR: #ffffff; FONT-FAMILY: = Verdana, Arial, Serif } .clinics A:hover { FONT-WEIGHT: bold; FONT-SIZE: 12px; COLOR: #ffffff; FONT-FAMILY: = Verdana, Arial, Serif } .dtable { BORDER-RIGHT: #333333 1px dotted; BORDER-TOP: #333333 1px dotted; = BORDER-LEFT: #333333 1px dotted; BORDER-BOTTOM: #333333 1px dotted } INPUT { BORDER-RIGHT: #336699 1px solid; BORDER-TOP: #336699 1px solid; = FONT-SIZE: 12px; BORDER-LEFT: #336699 1px solid; BORDER-BOTTOM: #336699 = 1px solid; BACKGROUND-COLOR: #ffffff } SELECT { BORDER-RIGHT: #336699 0px solid; BORDER-TOP: #336699 0px solid; = FONT-SIZE: 12px; BORDER-LEFT: #336699 0px solid; BORDER-BOTTOM: #336699 = 0px solid; BACKGROUND-COLOR: #ffffff } TEXTAREA { BORDER-RIGHT: #336699 1px solid; BORDER-TOP: #336699 1px solid; = FONT-SIZE: 12px; BORDER-LEFT: #336699 1px solid; BORDER-BOTTOM: #336699 = 1px solid; BACKGROUND-COLOR: #ffffff } H3 { FONT-WEIGHT: bold; FONT-SIZE: 22px; COLOR: #cc0000; FONT-FAMILY: Arial, = Helvetica, sans-serif } .mailing { FONT-WEIGHT: normal; FONT-SIZE: 13px; FONT-FAMILY: Verdana, Arial, = Serif; TEXT-DECORATION: none } .mailing A:link { FONT-SIZE: 13px; COLOR: blue; FONT-FAMILY: Verdana, Arial, Serif } .mailing A:active { FONT-SIZE: 13px; COLOR: blue; FONT-FAMILY: Verdana, Arial, Serif } .mailing A:visited { FONT-SIZE: 13px; COLOR: blue; FONT-FAMILY: Verdana, Arial, Serif } .mailing A:hover { FONT-SIZE: 13px; COLOR: blue; FONT-FAMILY: Verdana, Arial, Serif } .desc { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: none } .desc A:link { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: none } .desc A:active { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: none } .desc A:visited { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: none } .desc A:hover { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: underline } H1 { FONT-WEIGHT: bold; FONT-SIZE: 22px; MARGIN: 0px; FONT-FAMILY: Arial, = Helvetica, sans-serif } H2 { FONT-WEIGHT: bold; FONT-SIZE: 18px; MARGIN: 0px; FONT-FAMILY: Arial, = Helvetica, sans-serif } .borders { BORDER-RIGHT: #336699 double; BORDER-TOP: #336699 double; BORDER-LEFT: = #336699 double; BORDER-BOTTOM: #336699 double } .shop_borders { BORDER-RIGHT: #336699 1px solid; BORDER-TOP: #336699 1px solid; = BORDER-LEFT: #336699 1px solid; BORDER-BOTTOM: #336699 1px solid } .ad_placement_borders { BORDER-RIGHT: #000000 1px solid; BORDER-TOP: #000000 1px solid; = BORDER-LEFT: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid } .on { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: #006699; FONT-FAMILY: = Verdana, Arial; TEXT-DECORATION: underline } .off { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: #0033ff; FONT-FAMILY: = Verdana, Arial } .white { FONT-WEIGHT: normal; FONT-SIZE: 11px; COLOR: #ffffff; FONT-FAMILY: = Verdana, Arial, Serif; TEXT-DECORATION: none } .checkout { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: red; FONT-FAMILY: Verdana, = Arial, Serif; TEXT-DECORATION: none } .checkout A:link { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: red; FONT-FAMILY: Verdana, = Arial, Serif; TEXT-DECORATION: none } .checkout A:active { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: red; FONT-FAMILY: Verdana, = Arial, Serif; TEXT-DECORATION: none } .checkout A:visited { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: red; FONT-FAMILY: Verdana, = Arial, Serif; TEXT-DECORATION: none } .checkout A:hover { FONT-WEIGHT: bold; FONT-SIZE: 13px; COLOR: red; FONT-FAMILY: Verdana, = Arial, Serif; TEXT-DECORATION: underline } .clinicdesc { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: #000000; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Arial, Serif; TEXT-DECORATION: = none } .clinicdesc A:link { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: blue; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Arial, Serif; TEXT-DECORATION: = none } .clinicdesc A:active { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: blue; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Arial, Serif; TEXT-DECORATION: = none } .clinicdesc A:visited { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: blue; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Arial, Serif; TEXT-DECORATION: = none } .clinicdesc A:hover { FONT-WEIGHT: normal; FONT-SIZE: 12px; COLOR: blue; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Arial, Serif; TEXT-DECORATION: = underline } .block { BORDER-RIGHT: #999999 1px solid; PADDING-RIGHT: 0px; BORDER-TOP: = #999999 1px solid; PADDING-LEFT: 0px; BACKGROUND: #ffffff; = PADDING-BOTTOM: 0px; BORDER-LEFT: #999999 1px solid; PADDING-TOP: 0px; = BORDER-BOTTOM: #999999 1px solid } #order { MARGIN: 0px auto; WIDTH: 690px } .order { MARGIN: 0px auto; WIDTH: 690px } #order { BACKGROUND: url(../images/BSFooter.gif) no-repeat left 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