{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:16:46Z","timestamp":1787926606545,"version":"build-2784847793"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"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 &amp; Ankle Specialist"],"abstract":"<jats:p>Chronic exertional compartment syndrome (CECS) is a condition which involves sudden and painful increases in pressure of the musculofascial compartments of the lower leg in association with increased physical activity. A variety of surgical options, including endoscopic fasciotomy, exist to mechanically decompress the fascia. Recent progress in in-office needle endoscopy has shown potential for the diagnosis and treatment of various orthopaedic pathologies. We present the case of a 20-year-old collegiate sprinter with a 3-month history of CECS that was treated with bilateral in-office needle endoscopic 4 compartment fasciotomy. The patient was able to return to his previous level of competition 8 weeks postoperatively, and there were no complications. To the authors\u2019 knowledge, this is the first report of an in-office endoscopic 4-compartment fasciotomy for the management of CECS.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Levels of Evidence:<\/jats:bold>\n                    <jats:italic toggle=\"yes\">V, case report<\/jats:italic>\n                  <\/jats:p>","DOI":"10.1177\/19386400261477461","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:51:55Z","timestamp":1787640715000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Lower-Leg Chronic Exertional Compartment Syndrome Treated With In-Office Needle Endoscopic 4-Compartment Fasciotomy in Collegiate Sprinter: A Case Report"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0894-9328","authenticated-orcid":false,"given":"Guillaume","family":"Robert","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody","family":"Perskin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Tham","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna L.","family":"Gianakos","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7286-0689","authenticated-orcid":false,"given":"John G.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B5.3782254"},{"issue":"7","key":"e_1_3_2_3_2","first-page":"335","article-title":"Chronic exertional compartment syndrome","volume":"33","author":"Shah SN","year":"2004","unstructured":"Shah SN, Miller BS, Kuhn JE. Chronic exertional compartment syndrome. Am J Orthop Belle Mead NJ. 2004;33(7):335-341.","journal-title":"Am J Orthop Belle Mead NJ"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30283-0"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200003001-00002"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2015.12.002"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200307000-00006"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-010-9065-4"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270040501"},{"issue":"7","key":"e_1_3_2_10_2","first-page":"1160","article-title":"A non-operative approach to the management of chronic exertional compartment syndrome in a triathlete: a case report","volume":"11","author":"Collins CK","year":"2016","unstructured":"Collins CK, Gilden B. A non-operative approach to the management of chronic exertional compartment syndrome in a triathlete: a case report. Int J Sports Phys Ther. 2016;11(7):1160-1176.","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2019-000532"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365090-00004"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.02.002"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2147\/OAJSM.S168368"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-23-00124"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198310000-00043"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199009010-00006"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0890(89)90069-8"},{"key":"e_1_3_2_19_2","unstructured":"Torlincasi AM Lopez RA Waseem M. Acute Compartment Syndrome. StatPearls; 2025. 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