TY - JOUR
T1 - Chronic exertional compartment syndrome in the differential diagnosis of peripheral artery disease in older patients with exercise-induced lower limb pain
AU - de Bruijn, Johan A.
AU - Wijns, Kim C. A.
AU - van Kuijk, Sander M. J.
AU - Hoogeveen, Adwin R.
AU - Teijink, Joep A. W.
AU - Scheltinga, Marc R. M.
PY - 2021/6
Y1 - 2021/6
N2 - Objective: Peripheral artery disease (PAD) and chronic exertional compartment syndrome (CECS) both cause exercise-induced lower limb pain. CECS is mostly described in young individuals and may therefore not be considered in older patients with intermittent claudication. The aim of our study was to identify differences in characteristics and symptomatology between patients with CECS and PAD that may help in recognizing CECS in patients >= 50 years with exercise-induced lower limb pain.Methods: In this case-control study, patients with CECS >= 50 years were selected from a prospectively followed cohort and compared with a sample of newly diagnosed patients with PAD >= 50 years. A questionnaire assessed frequency and severity of lower limb pain, tightness, cramps, muscle weakness, and altered skin sensation at rest and during exercise.Results: At rest, patients with CECS (n = 43, 42% female, 57 years; range, 50-76 years) reported significantly more pain, tightness, muscle weakness and altered skin sensation (all PConclusions: Patients with CECS >= 50 years report a symptom pattern that is different from patients with PAD. These differences may aid vascular surgeons in identifying older patients with CECS.
AB - Objective: Peripheral artery disease (PAD) and chronic exertional compartment syndrome (CECS) both cause exercise-induced lower limb pain. CECS is mostly described in young individuals and may therefore not be considered in older patients with intermittent claudication. The aim of our study was to identify differences in characteristics and symptomatology between patients with CECS and PAD that may help in recognizing CECS in patients >= 50 years with exercise-induced lower limb pain.Methods: In this case-control study, patients with CECS >= 50 years were selected from a prospectively followed cohort and compared with a sample of newly diagnosed patients with PAD >= 50 years. A questionnaire assessed frequency and severity of lower limb pain, tightness, cramps, muscle weakness, and altered skin sensation at rest and during exercise.Results: At rest, patients with CECS (n = 43, 42% female, 57 years; range, 50-76 years) reported significantly more pain, tightness, muscle weakness and altered skin sensation (all PConclusions: Patients with CECS >= 50 years report a symptom pattern that is different from patients with PAD. These differences may aid vascular surgeons in identifying older patients with CECS.
KW - Intermittent claudication
KW - Peripheral artery disease
KW - Chronic exertional compartment syndrome
KW - Older patients
KW - RISK-FACTORS
U2 - 10.1016/j.jvs.2020.11.027
DO - 10.1016/j.jvs.2020.11.027
M3 - Article
C2 - 33278541
SN - 0741-5214
VL - 73
SP - 2114
EP - 2121
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 6
ER -