Evidence map›Paper›PMID 41884701›Full record

ArticleOrthopaedic journal of sports medicine2026

Association Between Number of Positive Pedowitz Criteria and Outcome After a Fasciotomy for Lower Leg Chronic Exertional Compartment Syndrome.

Kay van Heeswijk, Margot Heijmans, Marike van der Cruijsen, Geert Willem Schurink, Marc Scheltinga

Abstract read
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Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kay van HeeswijkDepartment of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.ORCID https://orcid.org/0009-0002-3466-3227
Margot HeijmansDepartment of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.
Marike van der CruijsenDepartment of Sports Medicine, Máxima Medical Center, Veldhoven, the Netherlands.
Geert Willem SchurinkDepartment of Vascular Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
Marc ScheltingaDepartment of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A frequent cause of exercise-induced leg pain in young individuals is chronic exertional compartment syndrome (CECS). The dominant role of a diagnostic intracompartmental pressure (ICP) measurement (ICPM) according to the Pedowitz criteria (PDWc) is criticized. The relation between number of positive PDWc and outcome after surgery for different types of lower leg CECS is unknown. Purpose/Hypothesis: The aim of this study was to determine whether number of positive PDWc is associated with three different outcome parameters in patients who were operated for different types of lower leg CECS. It was hypothesized that the number of positive PDWc is related to outcomes 3 and 12 months after fasciotomy for CECS. Study Design: Cohort study; Level of evidence, 3. Methods: Patients with a history and physical examination consistent with CECS of the anterior (ant-CECS) or deep posterior compartment (dp-CECS) completed a questionnaire scoring symptoms prior to an ICPM. Three PDWc were used (ICP ≥15 mmHg before the treadmill test; and ICP ≥30 mmHg and ≥20 mmHg 1 and 5 minutes after the test, respectively). Patients were grouped according to number of positive PDWc (0/1, 2, 3), and CECS type (ant-CECS, dp-CECS). In these 6 groups, outcomes-defined as symptom scores, return to sports, and operation satisfaction-were measured 3 and 12 months after a fasciotomy. Mann-Whitney Results: Between February 2013 and January 2025, 182 patients (313 legs; 37% male; age, 25 years [IQR, 19-36], excluding the lateral-CECS group with 5 patients) fulfilled study criteria. Group ant-CECS PDWc 0/1, PDWc 2 and PDWc 3 contained 7, 33, and 93 patients, respectively. Group dp-CECS PDWc 0/1, PDWc 2, and PDWc 3 had 10, 14, and 25 patients, respectively. Five PDWc groups demonstrated a significant drop ( Conclusion: Our study demonstrated that there is no uniform association between number of positive PDWc and outcome in patients who were operated for either ant-CECS or dp-CECS. This study can assist in future research in order to contribute to our understanding and to optimize decision making in patients with CECS who are considering fasciotomy.

Indexed as

anterior compartmentchronic exertional compartment syndromedeep posterior compartmentPedowitz criteria

Identifiers

PMID41884701
PMCPMC13009743

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