Mats J.L. van der Wee (Leiderdorp / NL; Rotterdam / NL), Sanne Vogels (Leiderdorp / NL; Rotterdam / NL), Eric W.P. Bakker (Amsterdam / NL), Francis G. O'Connor (Bethesda, NY / US), Rigo Hoencamp (Leiderdorp / NL; Rotterdam / NL; Utrecht / NL; Leiden / NL), Wes O. Zimmermann (Bethesda, NY / US; Utrecht / NL)
Abstract text (incl. references and figure legends)
Introduction Intracompartmental pressure (ICP) measurements are routinely performed in patients with exercise-related leg pain (ERLP) to diagnose CECS. However, the relationship between ICP of the deep posterior compartment and treatment outcomes is under debate. Therefore, the aim of this study was to evaluate the association between ICP values of the deep posterior compartment and the outcomes of a conservative outpatient treatment program in military service members with chronic ERLP.
Material & Methods This cohort study was performed in the Royal Netherlands Armed Forces. The main outcome measures were return to active duty and development of acute on chronic compartment syndrome. A generalized linear mixed model was used to identify predictor variables associated with return to active duty.
Results During the 5-year study period (2015-2019), 266 military patients completed a conservative treatment program for chronic ERLP. Eighty-three service members with 145 affected legs met all inclusion criteria. Sixty service members (72%) successfully returned to active duty (Table 1). No association between ICP values of the deep posterior compartment and conservative treatment outcome was found (odds ratio 1.02; 95% CI, 0.97-1.07; p=0.50). A low SANE-score (more severe symptoms at baseline), was negatively associated with return to duty (odds ratio 0.95; 95% CI, 0.90-0.99; p=0.01) (Table 2). None of the patients developed acute on chronic compartment syndrome during the treatment program.
Conclusions There was no association between a single post-exercise ICP value of the deep posterior compartment of both legs in military service members and return to active duty after a comprehensive conservative outpatient treatment program. None of the patients developed acute on chronic compartment syndrome. In this population, ICP measurement of the deep posterior compartment can be safely postponed until conservative treatment fails and surgical treatment is considered.
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
No