Treatment: With chronic muscle compartment syndrome the treatment primarily comprises relief and slowly increasing training intensity, rheumatic medicine (NSAID), and massage (article). If the activity is stopped the discomfort diminishes, but returns after a short period of resuming the sports activity once again.Įxamination: The diagnosis is made on the basis of the characteristic history and possibly with a pressure measurement in the muscle compartment (article). There is a sensation that the muscle is “tightened” and becomes hard, which is accompanied by discomfort. Symptoms: With chronic compartment syndrome there is slowly insetting pain in the anterior muscles after a few minutes activity. In other cases, chronic muscle compartment syndrome can arise as a complication to earlier muscle ruptures. The pressure can in some cases increase so greatly that impingement of blood vessels and nerves can occur. In some cases a false joint is formed (pseudoarthrosis), which requires surgical treatment.Īnatomy: The thigh muscles are divided into three groups (muscle compartments) of powerful, partially unyielding, muscle membranes (fascias) a front, an inner and a rear muscle compartment (Drawing).Ĭause: The muscles can increase so quickly following intensive training that the muscle membranes surrounding the muscles cannot keep up, causing the pressure in the muscle compartment to increase. A rehabilitation period of 2-4 months must be expected before maximum participation in sports activity can be resumed (article).Ĭomplications: If progress is not smooth, you should be medically re-evaluated to ensure that the fracture is healing according to plan. Rehabilitation: The rehabilitation is completely dependant on the type of fracture and the treatment (relief or surgical). Only in special cases is surgery necessary (article). Treatment: The treatment primarily comprises relief. It is crucial for the result of the treatment that the diagnosis is made as early as possible (article). The frequency of stress fractures in the femur is probably more often than presumed (article). Scintigraphy, CT, MRI and ultrasound scans can often diagnose stress fractures far earlier than x-rays (Ultrasonic image). Since many stress fractures are not visible early in the course, x-ray examination can be repeated after a few weeks, if stress fractures are still suspected. The pain is aggravated upon applying pressure (direct and indirect tenderness) and applying load (walking, running).Įxamination: X-ray. Symptoms: Pain and tired sensation in the thigh. Cause: Repeated loads, particularly when walking or running, can cause such great stress that cracks (stress fractures) appear in the shaft of the femur (article).
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