Knee and leg – Compartment syndromes : anterior leg compartment

  • A condition in which there is increased pressure within a closed osteofascial compartment, resulting in impaired local circulation.  Because the fascia does not stretch, this can cause increased pressure on the capillaries, nerves, and muscles in the compartment. The anterior compartment of the leg is the most common.
  • Types
    • Acute : medical emergency. It is usually caused by a severe injury and is extremely painful. Without treatment, it can lead to permanent muscle damage.
    • Chronic : also known as exertional compartment syndrome, is usually not a medical emergency. It is most often caused by athletic exertion and is reversible with rest.
  • Cause
    • Acute : Fracturer, muscle damage, cast
    • Chronic :prolonged exercise (overuse)
  • Symptoms and signs 
    • Aucte : Pain, Pallor, Paresthesia, Paralysis, Pulselessness // excessive foot pronation, herniated muscles
    • Chronic : pain or cramping during exercise. This pain goes away when activity stops. Numbness, Difficulty moving the foot, sometimes with a sense of the foot slapping downward when running, Visible muscle bulging
  • Treatments
    • Acute : medical emergency, need surgery
    • Chronic : facial techniques, trigger point, swedish massage, friction(tibialis anterior), joint play
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