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Review Question - QID 7385

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QID 7385 (Type "7385" in App Search)
Which of the following clinical findings is most commonly present in a chronic exertional compartment syndrome of the anterior compartment of the leg?

Absence of the dorsalis pedis pulse with exercise

0%

0/47

Pain in the anterior compartment 30 minutes post-exercise

15%

7/47

Anterior leg pain with passive dorsiflexion of the toes 30 minutes post-exercise

11%

5/47

Intracompartmental pressure of 30 mm Hg at 1 minute post-exercise

62%

29/47

Sensory loss of the plantar aspect of the foot with exercise

11%

5/47

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Chronic exertional compartment syndrome of the leg is characterized by pain (often burning in nature) of the involved compartment(s) (typically anterior) that worsens with activity and completely subsides within 15 minutes of activity cessation. A high index of suspicion is warranted for this condition. Intracompartmental pressure thresholds considered diagnostic are a 1-minute post-exercise pressure of 30 mm Hg and a 5-minute post-exercise pressure of 20 mm Hg. This condition is not associated with the classic findings of an acute compartment syndrome. In this particular example, anterior leg pain with passive dorsiflexion of the toes and sensory loss of the plantar aspect of the foot would not be expected with an exertional compartment syndrome of the anterior compartment.

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