3.9 of 37 Ratings
A 17-year-old male hurdler presents with burning pain and paresthesias in bilateral legs. He reports symptoms predictably after 10 minutes of running and training. The pain is localized over the dorsum of the foot and anterior leg. He denies any associated back pain. On exam, there is no apparent motor weakness and peripheral pulses are 2+ and symmetric with ankle plantar flexion and dorsiflexion. The patient undergoes surgical treatment of this condition. Which of the following would place the patient at risk for recurrence?
Four-compartment fasciotomy using two-incision technique
Age < 23 years
Isolated anterior and lateral compartment releases
Higher pre-operative post-exertion compartment pressures
Bilateral leg involvement
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An 18-year-old girl has bilateral leg pain. It occurs shortly after she begins running and is improved with rest. When she tries to continue running, she gets paresthesias on the dorsum of the foot. She has normal x-rays. What is the next step in evaluation?
Resting MRI bilateral tibiae
Venous doppler ultrasound
Non-invasive arterial vascular studies
Post-exercise compartment pressure measurement