SciELO - Scientific Electronic Library Online

vol.83 número3Hidatidosis hepatopulmonarSíndrome de aorta Shaggy índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Medicina (Buenos Aires)

versión impresa ISSN 0025-7680versión On-line ISSN 1669-9106

Medicina (B. Aires) vol.83 no.3 Ciudad Autónoma de Buenos Aires ago. 2023



Chronic exertional compartment syndrome

Márcio Luís Duarte1  * 

André de Queiroz Pereira da Silva2 

Fernando da Silva Xavier3 

José Luiz Masson de Almeida Prado3 

1 Universidade de Ribeirão Preto - Campus Guarujá, Guarujá-SP, Brazil

2 Hospital Santa Catarina, São Paulo-SP, Brazil

3 United Health Group, São Paulo-SP, Brazil

A 17-year-old woman with pain and bulging in the right leg after physical exercises -bodybuilding- in the last three months, especially in the lateral part of the leg. Pain improved with rest. She denied other diseases, previous surgery, or trauma; physical examination was normal. According to the anamnesis, the hypothesis of chronic exertional compartment syndrome (CECS) was raised. The magnetic resonance imaging (MRI) of the right leg before exercise was normal (Fig. 1). After walk ing three kilometers and climbing stairs another MRI was performed, which showed a high signal on T2 STIR weighted-image with mild convexity of the edges of the peroneal muscles, a characteristic image of CECS (Fig. 2, white arrow). The patient was forwarded to the ortho pedist for fasciotomy. One week after surgery she was asymptomatic. CECS is a condition in which exercise induces high pressure within a close space bounded by bone or fascia leading to decreased tissue perfusion and pain. Excessive exercise, especially running, has been linked to increased incidence. Careful anamnesis is key to making the diagnosis. Management of this disease is either conservative (avoidance of precipitating activ ity) or surgical (fasciotomy), which is the treatment of choice.

Figure 1 

Figure 2 

Creative Commons License This is an open-access article distributed under the terms of the Creative Commons Attribution License