Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management
Exercise-related limb pain poses a management dilemma to the clinician. The term ‘chronic exertional compartment syndrome’ (CECS) (previously known as ‘anterior tibial syndrome’) refers to a condition characterised by exercise-induced pain in one or more muscle groups and is more commonly seen in th...
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doaj-076afdcb6ec74895856765a713d5527f2020-11-25T00:32:05ZengAOSISSouth African Journal of Radiology1027-202X2078-67782018-04-01221e1e610.4102/sajr.v22i1.1284763Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to managementBishum Rattan0Shalendra K. Misser1Lake Smit and Partners Inc., DurbanLake Smit and Partners Inc., Durban, South Africa; School of Health Sciences, University of KwaZulu-Natal, South AfricaExercise-related limb pain poses a management dilemma to the clinician. The term ‘chronic exertional compartment syndrome’ (CECS) (previously known as ‘anterior tibial syndrome’) refers to a condition characterised by exercise-induced pain in one or more muscle groups and is more commonly seen in the lower limbs. Much less has been reported about the upper limbs where the muscular compartments are variably noted to be involved. A high index of clinical suspicion should therefore be maintained to avoid missing the diagnosis. Although commonly noted in athletes, CECS can occur in any age group with any level of exercise activity. In addition, there is no age predilection and the syndrome may be bilateral. The exact prevalence is not known as many athletes modify their training methods, thus delaying or avoiding medical assistance and imaging. The pathophysiology of compartment syndrome is complex. In this review of the syndrome, we describe the cycle of intracellular events leading to CECS and the eventual destruction of muscle. There is considerable overlap with the many possible causes of limb pain. Even the most experienced clinicians experience some difficulty in making this diagnosis of CECS, but with increasing awareness of this entity and availability of good-quality magnetic resonance imaging to confirm the suspicion, upper limb CECS is being more commonly diagnosed and patients more timeously managed.https://sajr.org.za/index.php/sajr/article/view/1284chronic exertional compartment syndrome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bishum Rattan Shalendra K. Misser |
spellingShingle |
Bishum Rattan Shalendra K. Misser Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management South African Journal of Radiology chronic exertional compartment syndrome |
author_facet |
Bishum Rattan Shalendra K. Misser |
author_sort |
Bishum Rattan |
title |
Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management |
title_short |
Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management |
title_full |
Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management |
title_fullStr |
Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management |
title_full_unstemmed |
Magnetic resonance imaging in exertional compartment syndrome of the forearm: Case-based pictorial review and approach to management |
title_sort |
magnetic resonance imaging in exertional compartment syndrome of the forearm: case-based pictorial review and approach to management |
publisher |
AOSIS |
series |
South African Journal of Radiology |
issn |
1027-202X 2078-6778 |
publishDate |
2018-04-01 |
description |
Exercise-related limb pain poses a management dilemma to the clinician. The term ‘chronic exertional compartment syndrome’ (CECS) (previously known as ‘anterior tibial syndrome’) refers to a condition characterised by exercise-induced pain in one or more muscle groups and is more commonly seen in the lower limbs. Much less has been reported about the upper limbs where the muscular compartments are variably noted to be involved. A high index of clinical suspicion should therefore be maintained to avoid missing the diagnosis. Although commonly noted in athletes, CECS can occur in any age group with any level of exercise activity. In addition, there is no age predilection and the syndrome may be bilateral. The exact prevalence is not known as many athletes modify their training methods, thus delaying or avoiding medical assistance and imaging. The pathophysiology of compartment syndrome is complex. In this review of the syndrome, we describe the cycle of intracellular events leading to CECS and the eventual destruction of muscle. There is considerable overlap with the many possible causes of limb pain. Even the most experienced clinicians experience some difficulty in making this diagnosis of CECS, but with increasing awareness of this entity and availability of good-quality magnetic resonance imaging to confirm the suspicion, upper limb CECS is being more commonly diagnosed and patients more timeously managed. |
topic |
chronic exertional compartment syndrome |
url |
https://sajr.org.za/index.php/sajr/article/view/1284 |
work_keys_str_mv |
AT bishumrattan magneticresonanceimaginginexertionalcompartmentsyndromeoftheforearmcasebasedpictorialreviewandapproachtomanagement AT shalendrakmisser magneticresonanceimaginginexertionalcompartmentsyndromeoftheforearmcasebasedpictorialreviewandapproachtomanagement |
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1725320887631085568 |