Relevant bibliographies by topics / Chronic posterior compartment syndrome

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
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  5. Conference papers

Academic literature on the topic 'Chronic posterior compartment syndrome'

Author: Grafiati
Published: 4 June 2021
Last updated: 13 February 2022

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Journal articles on the topic "Chronic posterior compartment syndrome"

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Gross, ChristopherE, BelaJ Parekh, SamuelB Adams, and SeleneG Parekh. "Chronic exertional compartment syndrome of the superficial posterior compartment: Soleus syndrome." Indian Journal of Orthopaedics 49, no. 5 (2015): 573. http://dx.doi.org/10.4103/0019-5413.164048.

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Grechenig, Peter, Epaminondas Markos Valsamis, Tom Müller, Axel Gänsslen, and Gloria Hohenberger. "Minimally Invasive Lower Leg Fasciotomy for Chronic Exertional Compartment Syndrome—How Safe Is It? A Cadaveric Study." Orthopaedic Journal of Sports Medicine 8, no. 10 (October 1, 2020): 232596712095692. http://dx.doi.org/10.1177/2325967120956924.

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Background: Chronic exertional compartment syndrome (CECS) is a recognized clinical diagnosis in running athletes and military recruits. Minimally invasive fasciotomy techniques have become increasingly popular, but with varied results and small case numbers. Although decompression of the anterior and peroneal compartments has demonstrated a low rate of iatrogenic injury, little is known about the safety of decompressing the deep posterior compartment. Purpose: To evaluate the risk of iatrogenic injury when using minimally invasive techniques to decompress the anterior, peroneal, and deep posterior compartments of the lower leg. Study Design: Descriptive laboratory study. Methods: A total of 60 lower extremities from 30 adult cadavers were subject to fasciotomy of the anterior, peroneal, and deep posterior compartments using a minimally invasive technique. Two common variations in surgical technique were employed to decompress each compartment. Anatomical dissection was subsequently carried out to identify incomplete division of the fascia, muscle injury, neurovascular injury, and the anatomical relationship of key neurovascular structures to the incisions. Results: Release of the anterior and peroneal compartments was successful in all but 2 specimens. There was no injury to the superficial peroneal nerve or any vessel in any specimen. A transverse incision crossing the anterior intermuscular septum resulted in muscle injury in 20% of the cases. Release of the deep posterior compartment was successful in all but 1 specimen when a longitudinal skin incision was used, without injury to neurovascular structures. Compared with a longitudinal incision, a transverse skin incision resulted in fewer complete releases of the deep posterior compartment and a significantly higher rate of injury to the saphenous nerve (16.7%; P = .052) and long saphenous vein (23.3%; P = .011). Conclusion: Minimally invasive fasciotomy of the anterior, peroneal, and deep posterior compartments using longitudinal incisions had a low rate of iatrogenic injury in a cadaveric model. Complete compartment release was achieved in 97% to 100% of specimens when employing this technique. Clinical Relevance: Minimally invasive fasciotomy techniques for CECS have become increasingly popular with purported low recurrence rates, improved cosmesis, and faster return to sport. It is important to determine whether this technique is safe, particularly given the variable rates of neurovascular injury reported in the literature.
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Winkes, Michiel B., Adwin R. Hoogeveen, Saskia Houterman, Anouk Giesberts, Pieter F. Wijn, and Marc R. Scheltinga. "Compartment Pressure Curves Predict Surgical Outcome in Chronic Deep Posterior Compartment Syndrome." American Journal of Sports Medicine 40, no. 8 (June 22, 2012): 1899–905. http://dx.doi.org/10.1177/0363546512449324.

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Wiley, J. Preston, W. Bruce Short, David A. Wiseman, and Stephen D. Miller. "Ultrasound catheter placement for deep posterior compartment pressure measurements in chronic compartment syndrome." American Journal of Sports Medicine 18, no. 1 (January 1990): 74–79. http://dx.doi.org/10.1177/036354659001800112.

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Lavery, Kyle P., Michael Bernazzani, Kevin McHale, William Rossy, Luke Oh, and George Theodore. "Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg." Arthroscopy Techniques 6, no. 3 (June 2017): e649-e653. http://dx.doi.org/10.1016/j.eats.2017.01.010.

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Lavery, Kyle P., Bertrand W. Parcells, and Timothy Hosea. "Posterior Tibial Arterial System Deficiency Mimicking Chronic Exertional Compartment Syndrome." JBJS Case Connector 6, no. 3 (September 14, 2016): e72. http://dx.doi.org/10.2106/jbjs.cc.15.00071.

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Winkes, Michiel B., and Marc R. Scheltinga. "Chronic exertional compartment syndrome of the deep posterior lower leg." British Journal of Sports Medicine 52, no. 19 (March 26, 2018): 1279–80. http://dx.doi.org/10.1136/bjsports-2017-098002.

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Boissonneault, Adam, Taylor Bellamy, and Sameh Labib. "Release of Tibialis Posterior Muscle Osseofascial Sheath for Chronic Exertional Compartment Syndrome Leads to Improved Outcomes." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0003. http://dx.doi.org/10.1177/2473011418s00031.

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Category: Sports Introduction/Purpose: Success rates for surgical management of chronic exertional compartment syndrome (CECS) in the lower extremity are influenced by the leg compartment involved. A failure rate of 40-50% has been associated with release of the deep posterior compartment, which has historically been associated with significantly worse outcomes than isolated anterolateral releases. The tibialis posterior muscle often resides in a separate osseofascial sheath, the so-called “fifth compartment.” At our institution, when a deep posterior release is performed, we routinely examine for this fifth compartment and release it if present. Within the context of this surgical approach, the aim of the current study was to compare long-term patient satisfaction and activity levels in those that underwent 2-versus 4-compartment fasciotomy for CECS. Methods: Our study reports on 48 limbs from 31 patients associated with a consecutive series that presented to a single institution for surgical management of lower extremity CECS from 2007-2016. The mean (standard deviation) follow-up was 65 (+/- 28) months. All patients underwent pre-operative intramuscular compartment pressure testing for CECS diagnosis. All surgeries were performed by a single surgeon. In all patients in which 4-compartment fasciotomy was indicated, the tibialis posterior muscle was examined for a separate osseofascial sheath. This sheath was released when present. The presence or absence of the sheath was always dictated in the operative note. Patient satisfaction outcomes were assessed with a Likert scale (excellent, good, fair, or poor). Current activity level was assessed via Marx and Tegner activity scores. Results: Of the 48 limbs, 29 limbs received 2-compartment anterolateral releases only and 19 limbs received 4-compartment fasciotomies. Of those that received 4-compartment fasciotomies, 13 (68%) were found to have a separate osseofascial sheath surrounding the tibialis posterior muscle. At a mean 5-year follow-up interval, 77% of the total cohort rated their outcome as good or excellent. Among the 4-comparment fasciotomy sub-cohort, 79% of patients rated their outcome as good or excellent. Among the entire cohort, there were no revision surgeries performed. The overall mean Tegner and Marx activity scores were 6 and 11 respectively. There was no significant difference in mean outcome scores between those that had 2-versus 4-compartment fasciotomies. Conclusion: Our study illustrates that 1) a separate osseofascial sheath exists around the tibialis posterior muscle in the majority of cases and 2) if this fifth compartment is consistently examined for and released, patients can achieve equivalent success rates and return to a similarly high activity level as those that undergo 2-compartment fasciotomy for CECS. Our study demonstrates superior results for 4-compartment release and includes the longest mean follow-up time for CECS patients in the literature.
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Kwiatkowski, Timothy C., and Don E. Detmer. "Anatomical dissection of the deep posterior compartment and its correlation with clinical reports of chronic compartment syndrome involving the deep posterior compartment." Clinical Anatomy 10, no. 2 (1997): 104–11. http://dx.doi.org/10.1002/(sici)1098-2353(1997)10:2<104::aid-ca6>3.0.co;2-v.

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van Zantvoort, Aniek, Johan de Bruijn, Henricus Hundscheid, Marike van der Cruijsen-Raaijmakers, Joep Teijink, and Marc Scheltinga. "Fasciotomy for Lateral Lower-leg Chronic Exertional Compartment Syndrome." International Journal of Sports Medicine 39, no. 14 (November 12, 2018): 1081–87. http://dx.doi.org/10.1055/a-0640-9104.

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AbstractExercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected. Knowledge about CECS of the lateral compartment (lat-CECS) is limited and outcome after fasciotomy is unknown. The purpose of this study is to report on success rates of fasciotomy in patients with lat-CECS. Surgical success rates in patients with lat-CECS diagnosed with a dynamic intracompartmental pressure (ICP) measurement were studied using a questionnaire (success: excellent or good as judged by the patient; unsuccessful: moderate, fair or poor). We conducted ICP measurements in 247 patients for suspected lat-CECS, of whom 78 were positively diagnosed. Following exclusion (n=11), 30 of the eligible 67 patients completed the questionnaire. Bilateral (70%, n=21/30) exertional pain (97%, n=29) and a feeling of tightness (93%, n=28) were the most frequently reported symptoms. Four years after fasciotomy, severity and frequency of symptoms had dropped significantly. Long-term surgical success was reported by 33% (n=10; excellent n=4, good n=6). Seventy-three percent (n=22) had resumed sports activities (9 same level, 13 lower level). In conclusion, a fasciotomy for lat-CECS was successful in the long term in just one of three operated patients in this retrospective study.
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Dissertations / Theses on the topic "Chronic posterior compartment syndrome"

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Erasmus, Estelle Annette. "The effect of soft tissue mobilization techniques on the symptoms of chronic posterior compartment syndrome in runners a multiple case study approach /." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-09252008-113736.

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Roberts, Andrew James. "Biomechanical, muscle activation and clinical characteristics of chronic exertional compartment syndrome." Thesis, University of Exeter, 2017. http://hdl.handle.net/10871/30669.

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Chronic exertional compartment syndrome (CECS) is a common problem within both military and athletic populations that can be difficult to diagnose. Furthermore, it is unclear what causes the development of CECS, particularly in the military population, as personnel undertake a variety of activities that can cause pain with CECS such as fast walking, marching and running. Chronic exertional compartment syndrome has been hypothesised to develop due to excessive muscle activity, foot pronation and abnormal biomechanics predominantly at the ankle. Treatment of CECS through running re-education to correct these abnormalities has been reported to improve symptoms. However no primary research has been carried out to investigate the biomechanical, muscle activation and clinical characteristics of military patients with CECS. The purpose of this thesis was to provide an original contribution to the knowledge through the exploration of these characteristics; and the development of insights into the development of CECS, with implications for prevention and treatment. Study one investigated the clinical characteristics of 93 service personnel with CECS. Plantar pressure variables, related to foot type and anterior compartment muscle activity, and ankle joint mobility were compared during walking between 70 cases and 70 controls in study two. Study three compared three-dimensional whole body kinematics, kinetics and lower limb muscle activity during walking and marching between 20 cases and 20 controls. Study four compared kinematics and lower limb muscle activity during running in a separate case-control cohort (n=40). Differences in electromyography (EMG) intensity during the gait cycle were compared in the frequency and time domain using wavelet analysis. All studies investigated subject anthropometry. Cases typically presented with bilateral, ‘tight’ or ‘burning’ pain in the anterior and lateral compartments of the lower leg that occurred within 10 minutes of exercise. This pain stopped all cases from exercising during marching and/or running. As such subsequent studies investigated the biomechanics of both ambulatory and running gaits. Cases in all case-control studies were 2-10 cm shorter; and were typically overweight resulting in a higher body mass index (BMI) than controls. There was strong evidence from study 3 that cases had greater relative stride lengths than controls during marching gait. This was achieved through an increase in ankle plantarflexion during late stance and a concomitant increase in the gastrocnemius medialis contraction intensity within the medium-high frequency wavelets. Given the differences in height observed, this may reflect ingrained alterations in gait resulting from military training; whereby all personnel are required to move at an even cadence and speed. These differences in stride length were also observed in walking and running gaits although to a lesser extent. There was no evidence from the EMG data that cases had greater tibialis anterior activation than controls during any activity tested, at any point in the gait cycle or in any frequency band. In agreement, there was also no evidence of differences between groups in plantar pressure derived measures of foot type, which modulate TA activity. Toe extensor - related plantar pressure variables also did not differ between groups. In summary, contrary to earlier theories, increased muscle activity of the anterior compartment musculature does not appear to be associated with CECS. The kinematic differences observed during running only partially matched the clinical observations previously described in the literature. Cases displayed less anterior trunk lean and less anterior pelvic tilt throughout the whole gait cycle and a more upright shank inclination angle during late swing (peak mean difference 3.5°, 4.1° and 7.3° respectively). However, no consistent differences were found at the ankle joint suggesting that running is unlikely to be the cause of CECS in the military; and that the reported success of biomechanical interventions may be due to reasons other than modifying pathological aspects of gait. In summary, the data presented in the thesis suggest that CECS is more likely to develop in subjects of shorter stature and that this is associated with marching at a constant speed and cadence. Biomechanical interventions for CECS, such as a change in foot strike or the use of foot orthotics, are unlikely to be efficacious for the military as personnel will continue to be required to march at prescribed speeds to satisfy occupational requirements. Preventative strategies that allow marching with a natural gait and/or at slower speeds may help reduce the incidence of CECS. The lack of association with foot type or muscle activity suggests that foot orthoses would not be a useful prevention strategy or treatment option for this condition.
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Marais, Christoff de Villiers. "Functional outcomes and patient satisfaction after fasciotomy performed for chronic exertional compartment syndrome." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25068.

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Study Rationale: Chronic exertional compartment syndrome often forces patients to change their sporting activities or reduce their level of participation. Many undergo surgery with the aim to return to their activities symptom free. The aim of the study was to determine if fasciotomies for chronic exertional compartment syndrome are a reliable treatment option with a predictable outcome to allow patients to return to the same level of activities. Objective: The evaluation of the functional outcomes and patient satisfaction in an active population who had surgery, namely fasciotomies, for chronic exertional compartment syndrome (CECS) of the lower leg. Design: A retrospective descriptive cohort study with a telephonic follow-up interview. Patients: A consecutive series of 41 patients that were surgically treated for CECS by a single orthopaedic surgeon from July 2005 to October 2013. Main Outcome Measures: Patient records were reviewed to determine their presenting symptoms, diagnostic investigations and surgical procedures performed. A questionnaire was completed by each participant to assess pain and level of activity before and after surgery, level of improvement after surgery and patient satisfaction with surgical outcomes. Results: Twenty-one of the 41 patients that were included in the study were categorized as active sportsmen, participating at a competitive or a non-competitive level. The remaining 20 were experiencing symptoms during leisure activities. The majority of all the patients (63%) had to stop their activity due to their symptoms. After surgery 95% were able to return to participate in the same level of activities as before surgery. Ninety percent of the active sportsmen were able to return to participation at a competitive or non-competitive level, with 45% reporting an increase in the level of intensity that they could maintain. Overall satisfaction was reported by 80% of participants although only 46% were completely pain free. Conclusions: Fasciotomies are a viable surgical treatment option for chronic exertional compartment syndrome in active patients, including athletes. There is an 87% return rate to previous activities within 6 months and an 80% satisfaction rate reported by patients post-surgery. We do acknowledge that some of the data collected regarding symptomology is subject to recall bias due to the interval between surgery and completion of the questionnaire.
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Roscoe, David. "The diagnosis and management of chronic exertional compartment syndrome in the UK military population." Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/810140/.

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Background Chronic Exertional Compartment Syndrome (CECS) presents as exertional pain in the lower limb presumed to be a result of elevated intramuscular compartment pressure (IMCP) although this has never been proven. Doubt exists regarding the validity of the diagnostic criteria for CECS, the role of IMCP and the outcomes from surgical management. An alternative biomechanical condition, Anterior Biomechanical Overload Syndrome (ABOS), was proposed to account for the symptoms of CECS and a programme of gait re-education (GRE) was introduced although no primary research has been carried out to investigate the predisposing biomechanical and anthropometric factors for CECS. Methods Case-control studies investigated the anthropometric, biomechanical and IMCP differences between CECS cases and asymptomatic controls. A post-surgical study evaluated the role of IMCP and a longitudinal study investigated the effectiveness of GRE and the nature of resultant biomechanical changes. Results Cases were significantly shorter than controls with increased plantarflexion at toe off and an increased rate of plantarflexion after heel strike. IMCP levels were significantly higher in cases than controls allowing for the extraction of diagnostic criteria for CECS. Surgical responders had similar IMCP to controls but significantly lower IMCP than non-responders. The biomechanical symptoms of ABOS were not replicated. GRE made changes to gait but these did not correspond to those identified in the CECS case-control study. Conclusions The intrinsic role of IMCP in CECS has been confirmed allowing for improved diagnostic criteria. Use of these criteria should allow for improved patient selection for surgery and improved outcomes for CECS. Novel insights to the biomechanical and anthropometric differences are provided allowing for the proposal of a new pathophysiological model whereby extrinsic training conditions impact upon intrinsic risk factors leading to CECS. These studies do not support the existence of ABOS or the use of GRE in the management of CECS.
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Lorensen, Tamara Dawn. "Defining anterior posterior dissociation patterns in electroencephalographic comodulation in Chronic Fatigue Syndrome and depression." Queensland University of Technology, 2004. http://eprints.qut.edu.au/16552/.

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This is a study of quantitative electroencephalographic (QEEG) comodulation analysis, which is used to assist in identifying regional brain patterns associated with Chronic Fatigue Syndrome (CFS) compared to an EEG normative database. Further, this study investigates EEG patterns in depression which is found to be a highly comorbid condition to CFS. The QEEG comodulation analysis examines spatial-temporal cross-correlation of spectral estimates in the individual resting dominant frequency band. A pattern shown by Sterman and Kaiser (2001) and referred to as the Anterior Posterior Dissociation (APD) discloses a significant reduction in shared functional modulation between frontal and centro-parietal areas of the cortex. Conversely, depressed patients have not shown this pattern of activity but have disclosed a pattern of frontal Hypercomodulation localized to bilateral pre-frontal and frontal cortex. This research investigates these comodulation patterns to determine whether they exist reliably in these populations of interest and whether a clear distinction between two highly comorbid conditions can be made using this metric. Sixteen CFS sufferers and 16 depressed participants, diagnosed by physicians and a psychiatrist respectively were involved in QEEG data collection procedures. Nineteen-channel cap recordings were collected in five conditions: eyes-closed, eyes open, reading task-one, math computations task-two, and a second eyes-closed baseline. Five of the 16 CFS patients showed a clear Anterior Posterior Dissociation pattern for the eyes-closed resting dominant frequency. However, 11 participants did not show this pattern of dysregulation. Examination of the mean 8-12 Hz band spectral magnitudes across three cortical regions (frontal, central and parietal) indicated a trend of higher overall alpha levels in the parietal region in CFS patients who showed the APD pattern compared to those who did not show this pattern. All participants who showed the APD pattern were free of medication, while the majority of those absent of this pattern were using antidepressant medications. For the depressed group, all of which were medication free, 100 % of the depressed group showed a frontal Hypercomodulation pattern. Furthermore, examination of the mean 8-12 Hz band spectral magnitudes across three cortical regions disclosed a trend of high frontal alpha and a left/right asymmetry of greater voltages in the left frontal cortex. Although these samples are small, it is suggested that this method of evaluating the disorder of CFS holds promise. The fact that this pattern is not consistently represented in the CFS sample could be explained by the possibility of subtypes of CFS, or perhaps comorbid conditions. Further, the use of antidepressant medications may mask the pattern by altering the temporal characteristics of the EEG. This study, however, was able to demonstrate that the QEEG was able to parse out the regional cerebral brain differences between CFS and depressed group.
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Edmundsson, David. "Chronic exertional compartment syndrome of the lower leg a novel diagnosis in diabetes mellitus: a clinical and morphological study of diabetic and non-diabetic patients /." Doctoral thesis, Umeå : Department of Surgical and Perioperative Sciences, Othopaedics, Department of Integrative Medical Biology, Anatomy, Umeå university, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-33694.

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Miller, Stuart Charles. "Mechanical factors affecting the estimation of tibialis anterior force using an EMG-driven modelling approach." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/8763.

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The tibialis anterior (TA) muscle plays a vital role in human movement such as walking and running. Overuse of TA during these movements leads to an increased susceptibility of injuries e.g. chronic exertional compartment syndrome. TA activation has been shown to be affected by increases in exercise, age, and the external environment (i.e. incline and footwear). Because activation parameters of TA change with condition, it leads to the interpretation that force changes occur too. However,activation is only an approximate indicator of force output of a muscle. Therefore, the overall aim of this thesis was to investigate the parameters affecting accurate measure of TA force, leading to development of a subject-specific EMG-driven model, which takes into consideration specific methodological issues. The first study investigated the reasons why the tendon excursion and geometric method differ so vastly in terms of estimation of TA moment arm. Tendon length changes during the tendon excursion method, and location of the TA line of action and irregularities between talus and foot rotations during the geometric method, were found to affect the accuracy of TA moment arm measurement. A novel, more valid, method was proposed. The second study investigated the errors associated with methods used to account for plantar flexor antagonist co-contraction. A new approach was presented and shown to be, at worse, equivalent to current methods, but allows for accounting throughout the complete range of motion. The final study utilised the outputs from studies one and two to directly measure TA force in vivo. This was used to develop, and validate, an EMG-driven TA force model. Less error was found in the accuracy of estimating TA force when the contractile component length changes were modelled using the ankle, as opposed to the muscle. Overall, these findings increase our understanding of not only the mechanics associated with TA and the ankle, but also improves our ability to accurately monitor these.
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Correa, Vazquez Eva Alicia. "SÍndrome compartimental crónico del antebrazo." Doctoral thesis, Universitat Autònoma de Barcelona, 2020. http://hdl.handle.net/10803/670457.

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El Síndrome Compartimental Crònic de l'Avantbraç és una patologia poc freqüent i que històricament el seu estudi s'ha centrat sobretot en l'afectació dels membres inferiors. El diagnòstic de la mateixa és de base clínica i es recolza en la realització de mesuraments dinàmiques de la pressió en els compartiments afectats. Aquesta tesi desenvolupa l'estudi de la variable Trest com a valor diagnòstic dels mesuraments de pressió intracompartimental dinàmica. Així mateix revisa la precisió dels actuals valors diagnòstics de pressió intracompartimental per al Síndrome Compartimental Crònic de l'Avantbraç i proposa l'optimització dels mateixos. El tractament es basa en la descompressió quirúrgica dels compartiments de l'avantbraç afectats i en el nostre estudi vam desenvolupar la comparació entre dues tècniques quirúrgiques, la cirurgia oberta i la tècnica mini-open.
El Síndrome Compartimental Crónico del Antebrazo es una patología poco frecuente y que históricamente su estudio se ha centrado sobre todo en la afectación de los miembros inferiores. El diagnóstico de la misma es de base clínica y se apoya en la realización de mediciones dinámicas de la presión en los compartimentos afectados. Esta tesis desarrolla el estudio de la variable TRest como valor diagnóstico de las mediciones de presión intracompartimental dinámica. Así mismo revisa la precisión de los actuales valores diagnósticos de presión intracompartimental para el Síndrome Compartimental Crónico del Antebrazo y propone la optimización de los mismos. El tratamiento se basa en la descompresión quirúrgica de los compartimentos del antebrazo afectados y en nuestro estudio desarrollamos la comparación entre dos técnicas quirúrgicas, la cirugía abierta y la técnica mini-open.
Exertional Chronic Compartment Forearm Syndrome is a rare disease and historically its study has focused mainly on lower limbs. The diagnosis is primarly clinical but supported by dynamic measurements of intracompartmental pressure. This thesis develops the study of a new variable, the TRest as a diagnostic value of dynamic intracompartmental pressure measurements. It also stimates the accuracy of current intracompartmental pressure diagnostic values for Exertional Chronic Compartment Forearm Syndrome and proposes their optimization. The treatment is based on surgical decompression of the affected forearm compartments. In our study we compare two surgical techniques, open surgery and mini-open technique.
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Reed, Pauline. "The effect of chiropractic manipulation versus mobilisation on pressure pain threshold in chronic posterior mechanical cervical spine pain." Thesis, 2012. http://hdl.handle.net/10210/7857.

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M.Tech.
Purpose: This study aims to compare the effects of chiropractic manipulation versus mobilisation on Pressure Pain Threshold in chronic posterior mechanical cervical spine pain sufferers with regards to pain, disability and cervical spine range of motion. These effects were evaluated using a questionnaire consisting of a McGill Pain Questionnaire, and a Vernon – Mior Neck Pain and Disability Questionnaire, and by measuring cervical spine range of motion using a Goniometer as well as Algometer readings over the restricted facet joint/s in the cervical spine. The questionnaires were completed and the range of motion readings and algometer readings were taken prior to treatment on the first, fourth and seventh consultations. Method: Thirty participants who met the inclusion criteria were divided into two groups of equal size (15 participants each). Group one received spinal manipulation to restricted cervical spine joint/s. The second group received spinal mobilisation to restricted cervical spine joint/s. Participants were treated six times out of a total of seven sessions, over a maximum three week period. Procedure: Subjective data was collected at the beginning of the first and fourth consultations, as well as on the seventh consultation by means of a McGill Pain Questionnaire, and a Vernon – Mior Neck Pain and Disability Questionnaire in order to assess pain and disability levels. Objective data was collected at the beginning of the first and fourth session, as well as on the seventh consultation by means of a Goniometer and Algometer in order to assess cervical spine range of motion and to measure the Pressure Pain Threshold at the restricted facet joint/s in the cervical spine. Analysis of collected data was performed by a statistician. Results: Clinically significant improvements in group 1 and group 2 were noted over the duration of the study with reference to pain, disability, and cervical spine range of motion. Statistically significant changes were noted in group 1 and group 2 with reference to pain and disability, and in group 1 and group 2 with v reference to certain cervical spine range of motions as well as algometer readings to measure the Pressure Pain Threshold at the restricted facet joint/s. Conclusion: The results show that both spinal manipulation and mobilization are effective treatment protocols (as demonstrated clinically, and to a lesser extent, statistically) in decreasing pain and disability, and increasing cervical spine range of motion and most importantly Pressure Pain Threshold at the restricted facet joint/s in patients with chronic posterior mechanical cervical spine pain. Although the study did not allow for a definite conclusion to be drawn, the results suggest that Chiropractic manipulative therapy is an effective treatment protocol to increase the Pressure Pain Threshold in chronic posterior mechanical neck pain sufferers. The advantage of this is that the treatment modality is used to its full potential, thereby providing the patient with the best results in terms of lasting benefits. It also shows that in cases where manipulation is contra-indicated mobilization will have a similar effect, but the long term benefits are questionable.
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Swanepoel, Shaylene. "The effect of sacroiliac joint manipulation compared to manipulation and static stretching of the posterior oblique sling group of muscles in participants with chronic sacroiliac joint syndrome." Thesis, 2017. http://hdl.handle.net/10321/2912.

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Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2017.
Sacroiliac joint syndrome is diagnosed in patients who complain of various painful symptoms associated to their lower back, for example: hip and groin pain, sciatica pain, and / or a need to frequently urinate. They further report that their pain is further intensified when standing from sitting, stair walking, bending forward or from sitting or standing too long. Sacroiliac joint syndrome has been widely accepted by health professions as a contributor to low back pain. Spinal manipulation has shown to be an effective method for pain relief of this condition. Studies have been done using physical therapy in conjunction with manipulation in treating sacroiliac joint syndrome. However, little research has been done on the effects of static stretching and manipulation combined. The posterior oblique sling group of muscles is created by the biceps femoris, gluteus maximus, erector spinae and latissimus dorsi muscles. The sacroiliac joint can be affected by the functional relationship of the posterior oblique sling muscles. These muscles are involved in forces across the sacroiliac joint. Tightness of muscles can affect the sacroiliac joint. Flexibility is an essential element of normal biomechanical functioning. Flexibility of muscles, tendons and ligaments can influence a joints range of motion. There is evidence that suggests that stretching could increase a joint’s range of motion which was evident one or more days after the stretching protocol in people without clinically significant contractures. Upon review of the related literature, it appears that there is insufficient literature assessing the clinical effectiveness of static stretching of the posterior oblique muscle sling group with respect to sacroiliac joint syndrome. Therefore this study is aimed at providing insight into the role of the posterior oblique muscle sling group in participants with and chronic sacroiliac joint syndrome. It is hypothesized that effective treatment of these muscles will allow for a more effective outcome of symptoms. The study design chosen was a randomised, clinical trial consisting of thirty voluntary participants’ between the ages 18 to 45 years suffering from chronic sacroiliac joint syndrome. There were two groups of fifteen participants, who received four treatment consultations within a two week period. Participants placed into Group One received sacroiliac joint manipulation only, while participants in Group Two received static stretching of the posterior oblique muscle sling and sacroiliac joint manipulation. Subjective and objective readings were taken at the first, third and fourth (final) consultations. The Numerical Pain Rating Scale (NRS) and the Oswestry Low Back Pain Disability Index (OSW) questionnaires were used to assess the subjective findings whilst the objective measurements were collected from results of algometer and inclinometer readings. The intra-group analysis revealed there was a statistically significant improvement within both groups for NRS, OSW, and inclinometer results. It appeared that Group Two fared better in terms of the algometer (pressure) results. The inter-group analysis revealed that all comparisons apart from the algometer readings had no statistically significant improvement between the two groups. From the intra-group comparisons of the objective data, participants in both groups experienced a statistically significant improvement. However, Group Two fared better in terms of the algometric pressure readings (p = 0.001). This study confirms that both treatment protocols were effective in reducing the signs and symptoms associated with sacroiliac joint syndrome. Although the readings were not statistically significant, there is evidence that Group Two responded better than Group One in terms of the algometer readings (Figure 4.13). There is insufficient literature on studies related to the posterior oblique sling muscles, and therefore, comparisons are needed with respect to the posterior oblique muscle sling group and its effects on the sacroiliac joint. This study concludes that overall there was no statistically significant difference between the two groups and recommends that further studies be undertaken with a greater number of participants to gauge if a more significant result can be achieved.
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Books on the topic "Chronic posterior compartment syndrome"

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Prout, Jeremy, Tanya Jones, and Daniel Martin. Gastrointestinal tract and liver. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199609956.003.0004.

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Anaesthetists are commonly involved in resuscitation and operative intervention in patients with chronic or acute gastrointestinal disorders or liver disease. The physiological consequences of bowel obstruction and anaesthetic considerations for laparotomy are described. Assessment and resuscitation in massive gastrointestinal haemorrhage is discussed; intervention and specialized management of variceal bleeds is also covered. The recognition, management and complications of acute, severe pancreatitis as well as multi-system effects of abdominal compartment syndrome are included. These are both commonly associated with critical illness and need for urgent intervention.
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Sell, Alex, Paul Bhalla, and Sanjay Bajaj. Anaesthesia for orthopaedic and trauma surgery. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0063.

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This chapter is divided into three main sections. The first section concerns the patient population that presents for orthopaedic surgery, specifically examining chronic diseases of the musculoskeletal system and the medications commonly used for their management, and the impact this has when these patients present for surgery. Included in this section are the surgical considerations and the anaesthetic implications of orthopaedic surgery, ranging from patient positioning to bone cement implant syndrome. The last part of this first section looks at specific orthopaedic operations, starting with the most commonly performed, hip and knee arthroplasties, and moving onto the specialist areas of spinal deformity, paediatric, and bone tumour surgery that are not usually found outside of specialist centres. The middle section gives a brief overview on analgesia concentrating on pharmacological methods as, although orthopaedic surgery lends itself well to regional anaesthesia, this is covered elsewhere in its own dedicated chapters. No section on analgesia would be complete without mentioning enhanced recovery: the coordinated, multidisciplinary approach that improves the patient experience, increases early mobilization, and reduces length of stay, which should be the standard obtained for every patient. The final section covers the anaesthetic management of in-hospital trauma, giving an overview on initial assessment, timing of surgery, and management of haemorrhage and coagulopathy. This section finishes by covering the orthopaedic-specific topics of compartment syndrome, fat embolism syndrome, and the management of fractured neck of femur and spinal injury.
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Book chapters on the topic "Chronic posterior compartment syndrome"

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West, Robin, Joseph Ferguson, and Alexander Butler. "Chronic Exertional Compartment Syndrome." In Endurance Sports Medicine, 113–25. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-32982-6_9.

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Huang, Michael J. "Chronic/Exertional Compartment Syndrome Release." In Operative Dictations in Orthopedic Surgery, 167–68. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7479-1_45.

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Bouché, Richard T. "Chronic Compartment Syndrome of Leg and Foot." In Sports Medicine and Arthroscopic Surgery of the Foot and Ankle, 141–50. London: Springer London, 2012. http://dx.doi.org/10.1007/978-1-4471-4106-8_12.

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Bouché, Richard T. "Chronic Compartment Syndrome of Leg and Foot." In International Advances in Foot and Ankle Surgery, 291–96. London: Springer London, 2012. http://dx.doi.org/10.1007/978-0-85729-609-2_30.

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Harrison, John W. K. "Chronic Exertional Compartment Syndrome (CECS) of the Forearm." In Sports Injuries of the Hand and Wrist, 277–88. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-02134-4_14.

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Miller, Elizabeth A., Anna L. Walden, and Tyson K. Cobb. "Endoscopic Fascia Release for Forearm Chronic Exertional Compartment Syndrome." In Surgical Techniques for Trauma and Sports Related Injuries of the Elbow, 161–65. Berlin, Heidelberg: Springer Berlin Heidelberg, 2019. http://dx.doi.org/10.1007/978-3-662-58931-1_18.

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Verleisdonk, E. J. M. M., C. J. M. Helder, H. A. Hoogendoorn, and Chr van der Werken. "The Chronic Compartment Syndrome of the Lower Leg: Results of Fasciotomy." In Hefte zur Zeitschrift „Der Unfallchirurg“, 363–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 1998. http://dx.doi.org/10.1007/978-3-642-60880-3_60.

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Ödemis, V., and H. Gerngroß. "Intramuscular Oxygen Partial Pressure in Patients with Chronic Exertional Compartment Syndrome (CECS)." In Advances in Experimental Medicine and Biology, 311–16. Boston, MA: Springer US, 1997. http://dx.doi.org/10.1007/978-1-4615-5399-1_44.

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Turnipseed, William D. "Popliteal Entrapment and Chronic Compartment Syndrome: Unusual Causes for Claudication in Young Adults." In Haimovici's Vascular Surgery, 852–59. Oxford, UK: Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781118481370.ch68.

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Styf, J. "Diagnosis of Chronic Compartment Syndrome in the Leg by History, Signs and Intramuscular Pressure Recordings." In Hefte zur Zeitschrift „Der Unfallchirurg“, 277–81. Berlin, Heidelberg: Springer Berlin Heidelberg, 1998. http://dx.doi.org/10.1007/978-3-642-60880-3_49.

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Conference papers on the topic "Chronic posterior compartment syndrome"

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Sandau, Nicolai, Kasper Guldbrandsen, Francesca Cucchi, Cristina Oprea, Lars Friberg, and Lars Konradsen. "1 The effect of fasciotomy for the treatment of chronic exertional compartment syndrome of the lower leg." In Scandinavian Sports Medicine Congress. BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine, 2019. http://dx.doi.org/10.1136/bjsports-2019-scandinavianabs.1.

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