The main causes of compartment syndrome are :
- the consequences of an injury, we speak then of an acute compartment syndrome
- an over-intensive demand due to professional or sporting activity, this is called a chronic compartment syndrome.
The main symptoms are
- intense and very localized pain in the muscle group concerned
- swelling, numbness and paresthesia (burning sensation)
To make a precise diagnosis, your surgeon will rely primarily on clinical examination and an in-depth questionnaire on the circumstances of symptom onset. He can rely on complementary examinations such as an ultrasound.
Treatment options
In the case of a chronic compartment syndrome
- glaze the painful area
- suspend activities until painful phenomena disappear
- consider a change in habits (sports training or professional practice) in the most severe cases to avoid the evolution towards an acute syndrome.
Surgical Treatment
Acute compartment syndrome is a surgical emergency ; the procedure is called fasciotomy and consists of :
- incision of the fascia compressing the muscle group for a quick relief
- the wound is closed only after the pressure and muscular volume have decreased
At the Bordeaux-Merignac Sport Clinic, this procedure is performed as outpatient basis.
