12:45

Fasciotomies of the calf for exertional compartment syndrome surgical technique

Overview

Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.

SUBSCRIBE


Learn the Fasciotomies of the calf for exertional compartment syndrome surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Fasciotomies of the calf for exertional compartment syndrome surgical procedure.

Chronic exertional compartments syndrome (CECS) of the lower limb is a condition that is generally under-diagnosed and presents with characteristic symptoms in at risk populations, such as athletes and military recruits.

CECS is characterised by exertional leg pain, which may be variably associated with pain, swelling, loss of function and distal cutaneous numbness related to specific muscle muscle compartments. The most commonly affected compartment is the anterior compartment of the lower leg(51%) followed by the lateral compartment(33%), the deep posterior compartment(13%) and superficial posterior compartment(3%).

Signs and symptoms tend to be localised to the involved muscle compartments. Presenting symptoms include  cramping, aching, a feeling of muscles tightness, numbness and tingling, foot drop (often reported as slapping of the foot), and occasionally local swelling or bulging as a result of muscle herniation. These symptoms often occur in a recognisable temporal pattern in a patient, after a consistent time, distance or intensity of exercise. The pain classically becomes worse as exercise progresses, and is usually sufficiently debilitating to require an individual to stop. The symptoms reduce once exercise is stopped and have often resolved within fifteen minutes of cessation.  If activity is re-commenced after a brief rest, patients commonly report a reduced length of time prior to onset of further symptoms.

Author: Nicholas Cullen

Institution: Royal National Orthopaedic Hospital, Stanmore, UK.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.

COURSE PROGRESS

Lessons Status

Accreditations

Logo Logo Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo