Chronic exertional compartment syndrome

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Definition

By Mayo Clinic staff

Chronic exertional compartment syndrome is an exercise-induced muscle and nerve condition that causes pain, swelling and sometimes even disability in affected muscles of your legs or arms.

Anyone can develop chronic exertional compartment syndrome, but it's more common in athletes who participate in sports that involve repetitive impact exercise, such as running and fast walking. Chronic exertional compartment syndrome is sometimes called chronic compartment syndrome or exercise-induced compartment syndrome.

If conservative treatment doesn't help with chronic exertional compartment syndrome, your doctor may recommend surgery. Surgery is successful for many people,  allowing you — whether you're a recreational or serious athlete — to return to your sport.

References
  1. George CA, et al. Chronic exertional compartment syndrome. Clinics in Sports Medicine. 2012;31:307.
  2. Lee CH, et al. Chronic exertional compartment syndrome in adductor pollicis muscle: Case report. Journal of Hand Surgery. 2012;37A:2310.
  3. Compartment syndrome. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00204. Accessed Dec. 18, 2012.
  4. Aweid O, et al. Systematic review and recommendations for intracompartmental pressure monitoring in diagnosing chronic exertional compartment syndrome of the leg. Clinical Journal of Sports Medicine. 2012;22:356.
  5. Meehan WP. Chronic exertional compartment syndrome. www.uptodate.com/index. Accessed Dec. 18, 2012.
  6. Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-4/0/1481/0.html#. Accessed Dec. 18, 2012.
  7. Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed Dec. 18, 2012.
  8. Ringler MD, et al. MRI accurately detects chronic exertional compartment syndrome: A validation study. Skeletal Radiology. In press. Accessed Dec. 18, 2012.
  9. Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 20, 2012.
DS00789 Feb. 20, 2013

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