Key result
Operative fasciotomy yields lower success rates for chronic lower-leg compartment syndrome in young female athletes.
Why the study?
Does operative fasciotomy improve outcomes in young female athletes with chronic lower-leg compartment syndrome?
Observational (n=47)
Does operative fasciotomy improve outcomes in young female athletes with chronic lower-leg compartment syndrome?
Young female athletes with chronic lower-leg compartment syndrome may have lower success rates following operative fasciotomy compared to mixed-sex populations.
May warrant caution for fasciotomy in young female athletes; hypothesis-generating for sex-specific outcomes in chronic compartment syndrome.
Our experience in treating chronic lower-leg compartment syndrome suggests that women may be more susceptible to this injury than are men, an observation for which there is support in the literature. Furthermore, when we evaluated the 47 young female athletes (age range, 13 years 11 months to 21 years 10 months) from our practice on whom 78 separate surgeries were performed, we found a lower success rate than those generally reported in studies that combine male and female patients. We suspect, therefore, that for reasons as yet unclear, women may also respond less well than men to operative fasciotomy.
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Micheli et al. (1999) conducted an observational in Chronic lower-leg compartment syndrome (n=47). Operative fasciotomy vs. Mixed male and female populations (historical/literature) was evaluated on Success rate. Operative fasciotomy for chronic lower-leg compartment syndrome in young female athletes resulted in a lower success rate than generally reported in studies combining male and female patients.
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