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The Journal of Bone and Joint Surgery, Vol 65, Issue 9 1252-1255, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Results of fasciotomy in patients with medial tibial syndrome or chronic anterior-compartment syndrome
R Wallenstein
I studied the results of fasciotomy of the affected muscle compartment in
eight patients with chronic anterior-compartment syndrome (involvement of
the anterior tibial compartment) and in nine patients with medial tibial
syndrome (involvement of the deep posterior compartment), all of whom had
pain with exercise. In the patients with chronic anterior-compartment
syndrome, the preoperative intramuscular pressure in the anterior tibial
compartment, as measured by the wick-catheter method, was increased ten
minutes after exercise to 52 +/- 36 millimeters of mercury. After
fasciotomy this pressure was significantly lowered to 4 +/- 6 millimeters
of mercury (p less than 0.01). In the patients with medial tibial syndrome,
the preoperative intramuscular pressure in the deep posterior compartment
was normal ten minutes after exercise (8 +/- 4 millimeters of mercury) and
did not significantly change after the fasciotomy (5 +/- 6 millimeters of
mercury). The clinical results after fasciotomy were good in both groups of
patients. There was complete relief of pain in all of the patients with
chronic anterior-compartment syndrome and in five of the nine patients with
medial tibial syndrome. The other four patients considered their condition
to be improved in spite of some remaining symptoms.
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