Chronic Exertional Compartment Syndrome in a Collegiate Soccer Player: A Case Report and Literature Review
Derek Farr, DO, and Harlan Selesnick, MD
Dr. Farr is Orthopedic Sports Fellow, Orthopaedic Institute of South Florida, Baptist Doctors' Hospital, Coral Gables, Florida.
Dr. Selesnick is Director, Miami Sports Fellowship Program, Orthopaedic Institute of South Florida, Baptist Doctors' Hospital, Coral Gables, Florida, and Team Physician, Miami Heat, National Basketball Association.
Chronic exertional compartment syndrome is a relatively rare condition among running athletes. In those who engage in repetitive activity, it can cause severe, debilitating leg pain. The diagnosis can be made with a thorough workup that includes history and physical examination, radiologic studies (x-rays, magnetic resonance imaging, bone scan), and compartment pressure monitoring. Most patients do not respond well to nonoperative intervention. Fasciotomy provides satisfactory relief of symptoms and helps patients return to their sports. We present the case of a high-level collegiate soccer player with chronic exertional compartment syndrome.