Case report demonstrates complete symptom resolution after ultrasound-guided fasciotomy in a runner with chronic exertional compartment syndrome, highlighting its long-term sonographic safety.
We report the case of a 38-year-old recreational female runner with anterior and lateral chronic exertional compartment syndrome treated with ultrasound-guided fasciotomy using a V-shaped meniscotome. She began her return-to-run protocol 8 days postprocedure and achieved full symptom resolution. At 6 months, ultrasound revealed persistent fascial separation without complications, representing the first report of long-term sonographic outcomes following fasciotomy for chronic exertional compartment syndrome. These findings support further prospective studies to evaluate the clinical and sonographic outcomes of this technique.
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Lavigne et al. (2026) studied this question.
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