A member asked:

Can you tell me about having a fasciectomy for anterior tibial compartment syndrome?

11 doctors weighed in across 4 answers
Dr. Joseph Pfeifer answered

Specializes in Trauma Surgery

Open muscle sheath: Fasciotomy is done for increased pressure in a muscle compartment. Muscles in the calf are encased in a tough sheath, and if serious swelling occurs, the muscle & nerves can be damaged. Opening the sheath relieves the pressure & is usually done on all 4 compartments of the calf. Often, the open wound requires skin grafting to close.

Answered 11/2/2015

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Dr. Herman Hammerstead answered

Specializes in Trauma Surgery

Vague question: A fasciotomy is done for swelling in an extremity that has undergone trauma or ischemia and the muscles are uncontrollably swelling and shutting down the blood supply to that extremity. In order to relieve the pressure and restore blood flow to the extremity the skin and fascae are incised. When then swelling abates the exposed muscle is skin grafted or primarily closed. The leg has 3 compartment

Answered 11/3/2014

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Dr. Jeffrey Sider answered

Specializes in Sports Medicine

Another answer: actually some well known long distance runners have had intermittent compartment syndrome issues secondary to high levels of training/ running these are not acute or trauma related and are more difficult to diagnose

Answered 11/5/2014

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Dr. Anne Missavage answered

Specializes in General Surgery

Tibial Compartment: This syndrome occurs when the muscle on the front of the lower leg swells, usually due to injury. It can occur with runners, or people who exercise a lot. The fascia is a tight envelope on the outside of the muscle, and if the muscle swells, the fascia can be too tight and block blood flow to the muscle. The treatment involves cutting open the fascia to let the muscle swelling pressure decrease.

Answered 5/7/2019

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