{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:09:51Z","timestamp":1777612191447,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic exertional compartment syndrome involving the lower leg lateral compartment (lat-CECS) seldom occurs isolated but is usually combined with CECS of the anterior (ant-CECS) or deep posterior compartment (dp-CECS). Patient characteristics in lat-CECS and outcome after surgery are largely unknown. The aim of this prospective case series was to describe patient characteristics and symptoms and to report on outcome following a fasciotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients diagnosed with lat-CECS based on exertional lateral lower leg symptoms and elevated intracompartmental pressure (ICP) measurements according to the Pedowitz criteria (ICP\u2009\u2265\u200915\u2009mm Hg at rest, and\/or \u226530\u2009mm Hg after 1\u2009minute, and\/or \u226520\u2009mm Hg 5\u2009minutes after exercise) were eligible for this study. A standard intake questionnaire scoring symptom patterns was completed by all patients. Patients who were operated for lat-CECS were asked to complete a 3-month and 12-month postoperative questionnaire scoring symptoms and surgical outcome. Patients with a history of CECS surgery, recent lower leg trauma, or peripheral neurovascular disease were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 881 patients with possible lower leg CECS completed an intake questionnaire and 88 (10%) were diagnosed with lat-CECS according to the Pedowitz criteria (isolated lat-CECS n\u2009=\u200910; lat\/ant CECS n\u2009=\u200954, lat\/ant\/dp CECS n\u2009=\u200919, lat\/dp CECS n\u2009=\u20095). Severe pain during exercise and moderate tightness during rest were frequently reported. A group of 28 patients (49 legs; isolated lat-CECS n\u2009=\u20092; lat\/ant CECS n\u2009=\u200922, lat\/ant\/dp CECS n\u2009=\u20093, lat\/dp CECS n\u2009=\u20091) was analyzed after fasciotomy. Complications were minor (wound infection requiring antibiotics, n\u2009=\u20093; temporary complex regional pain syndrome with spontaneous recovery, n\u2009=\u20091). Superficial peroneal nerve damage was not observed. One year after surgery, 64% rated outcome as excellent or good, whereas 71% had resumed sports activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>One in 10 patients with anterolateral exertional lower leg pain evaluated in a tertiary referral center met diagnostic criteria for lat-CECS. Pain and tightness were present during exertion and were often reported occurring during rest and at night. In this series, we found fasciotomy\u2014either an isolated (lateral) or a multiple (combined with anterior and\/or deep posterior) compartment fasciotomy\u2014is safe and beneficial in most patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007231192076","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T08:56:40Z","timestamp":1695113800000},"page":"1097-1104","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Lower Leg Lateral Chronic Exertional Compartment Syndrome: Prospective Surgical Treatment Outcomes for Isolated or Combined Lateral Fasciotomy"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3065-7823","authenticated-orcid":false,"given":"Aniek P. M.","family":"van Zantvoort","sequence":"first","affiliation":[{"name":"Department of Surgery, M\u00e1xima Medical Center, Eindhoven\/Veldhoven, the Netherlands"},{"name":"Caphri Research School, Maastricht University Medical Center, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan A.","family":"de Bruijn","sequence":"additional","affiliation":[{"name":"Department of Surgery, M\u00e1xima Medical Center, Eindhoven\/Veldhoven, the Netherlands"},{"name":"Caphri Research School, Maastricht University Medical Center, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henricus P. H.","family":"Hundscheid","sequence":"additional","affiliation":[{"name":"Department of Surgery, M\u00e1xima Medical Center, Eindhoven\/Veldhoven, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joep A. W.","family":"Teijink","sequence":"additional","affiliation":[{"name":"Caphri Research School, Maastricht University Medical Center, Maastricht, the Netherlands"},{"name":"Department of Surgery, Catharina Hospital, Eindhoven, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R.","family":"Scheltinga","sequence":"additional","affiliation":[{"name":"Department of Surgery, M\u00e1xima Medical Center, Eindhoven\/Veldhoven, the Netherlands"},{"name":"Caphri Research School, Maastricht University Medical Center, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,19]]},"reference":[{"issue":"3","key":"bibr1-10711007231192076","first-page":"77","volume":"62","author":"Bong MR","year":"2005","journal-title":"Bull Hosp Jt Dis"},{"key":"bibr2-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713490919"},{"key":"bibr3-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715596081"},{"key":"bibr4-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718811632"},{"key":"bibr5-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118757179"},{"key":"bibr6-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0395-9"},{"key":"bibr7-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200211"},{"issue":"1","key":"bibr8-10711007231192076","first-page":"36","volume":"4","author":"Meulekamp MZ","year":"2017","journal-title":"Mil Med Res"},{"key":"bibr9-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270021401"},{"key":"bibr10-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-004-0613-6"},{"key":"bibr11-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512471330"},{"key":"bibr12-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800106"},{"key":"bibr13-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198310000-00043"},{"key":"bibr14-10711007231192076","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365090-00004"},{"key":"bibr15-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-2017-000895"},{"key":"bibr16-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270040501"},{"key":"bibr17-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100609"},{"key":"bibr18-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198910000-00016"},{"key":"bibr19-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.128608"},{"key":"bibr20-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115617728"},{"key":"bibr21-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1055\/a-0640-9104"},{"key":"bibr22-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119890105"},{"key":"bibr23-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-965365"},{"key":"bibr24-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-45255"},{"key":"bibr25-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513497922"},{"key":"bibr26-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512449324"},{"key":"bibr27-10711007231192076","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515626540"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007231192076","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007231192076","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007231192076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:21:57Z","timestamp":1777411317000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007231192076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,19]]},"references-count":27,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/10711007231192076"],"URL":"https:\/\/doi.org\/10.1177\/10711007231192076","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,19]]}}}