Anterior Compartment Syndrome
What is a compartment syndrome?
A muscle compartment as described by the Oxford Dictionary of Sports Science and Medicine as “a well-defined region that contains a group of muscles within a particular segment of the body.” The muscles, nerves and blood vessels in each compartment are separated by a tough, nonexpansile fibrous sheet which holds these structures together. The lower leg has four muscle compartments:
Compartments of the lower leg
Compartment syndrome is a condition that results from compression of the structures within the compartment due to increasing pressure. This increasing pressure compresses the blood vessels, decreasing oxygenation and leading to tissue damage. It may result from bleeding into the compartment space or due to accumulation of fluid (edema). The unyielding fascia does not provide space to expand, increasing the pressure within the compartment.
Anterior compartment syndrome:
The anterior compartment is located on the outer front of the lower leg and has two bony walls, plus the tough fascia that covers the tibialis anterior and three other small muscles involved in upward deflection of the foot.
Anterior compartment syndrome may be acute resulting from an accidental trauma causing bone fracture or muscle contusion, or it may be chronic that results from excessive physical exertion and is a common complaint among sportspersons and athletes. The latter condition is also called chronic exertional compartment syndrome.
The diagnosis is usually made by relating the signs and symptoms to an underlying cause such as tibia or fibula fracture or a muscle injury. There are, however, diagnostic tools available to measure the pressure within a compartment. This helps in accurate assessment of the condition and in devising a suitable management plan.
Acute Compartment Syndrome:
This is a medical emergency and requires immediate surgical intervention. The pressure is released by making long incisions in the covering fascia (fasciotomy). The wound may be left open for two or three days. Untreated cases may lead to kidney failure or other life-threatening complications.
Chronic Compartment Syndrome:
If symptoms do not subside with a conservative approach, fasciotomy is performed to relieve the pressure in the muscle compartment. Surgical treatment is shown to be effective in about 90% of cases.
Orthotics that will help to treat Anterior Compartment Syndrome can be found below.
THE KEY STEPS TO GETTING THE RIGHT SIZE DOCPODS:
FULL LENGTH INSOLES
NON FULL LENGTH INSOLES
|1. Measure your existing shoe insole:
|| 1. Measure from your heel to ball of foot:
2. Then compare your measurements from above to match the product size charts below:
|US MENS||4.5 - 9||9 - 13|
|US WOMENS||6 - 10||10 - 14|