![\"\"](\"https:\/\/stg-blogs.bmj.com\/bjsm\/files\/2011\/09\/university-van-pret-logo.jpg\" "\\"university"){kind=logo}
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September 19, 2011<\/p>\n
The Editor<\/p>\n
British Journal of Sports Medicine<\/p>\n
Dear Prof Khan<\/p>\n
Re: Chronic Exertional Compartment Syndrome articles<\/strong><\/p>\n <\/strong><\/p>\n I was very excited to receive the September issue of your journal<\/a> and observe that there were a number of articles on chronic exertional compartment syndrome. As Hutchinson quite rightly states in\u00a0Chronic exertional compartment syndrome<\/a><\/em>: \u201ckey questions remain regarding the specific protocol a clinician should undergo when performing intracompartmental pressure testing.\u201d<\/p>\n Although one can not be 100% sure of the diagnosis by only performing a thorough history and clinical examination, it is quite a painful and invasive procedure. I am therefore quite reluctant to do the procedure as suggested by Hutchinson i.e. both legs, pre- and post exertional, and all four compartments. Much to my surprise the next article by Hislop and Batt<\/a> advised the exact opposite, i.e. one leg should suffice, resting pressures can be misleading and it is not necessary to test asymptomatic compartments.<\/p>\n I am now more confused than before reading these articles and would really appreciate guidance.<\/p>\n Kind regards,<\/p>\n DR DC JANSE VAN RENSBURG<\/p>\n HEAD: SECTION SPORTS MEDICINE<\/p>\n DEPARTMENT OF ORTHOPAEDICS<\/p>\n UNIVERSITY OF PRETORIA<\/p>\n **********************************************************<\/p>\n What are your thoughts on this topic? <\/span><\/strong>Leave your comments below <\/span><\/strong><\/p>\n Or email: karim.khan@familymed.ubc.ca<\/span><\/span><\/strong><\/p>\n Or tweet your response and we’ll retweet: @bjsm_bmj<\/span><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" September 19, 2011 The Editor British Journal of Sports Medicine Dear Prof Khan Re: Chronic Exertional Compartment Syndrome articles I was very excited to receive the September issue of your journal and observe that there were a number of articles on chronic exertional compartment syndrome. As Hutchinson quite rightly states in\u00a0Chronic exertional compartment syndrome: \u201ckey […]<\/p>\n