Botulinum Toxin A for Chronic Exertional Compartment Syndrome Evaluated With Shear Wave Elastography: A Case Report.

MedStar author(s):
Citation: Clinical Journal of Sport Medicine. 32(2):e178-e180, 2022 03 01.PMID: 33417341Institution: MedStar National Rehabilitation NetworkDepartment: Physical Medicine & Rehabilitation Residency- AdvancedForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Botulinum Toxins, Type A | *Compartment Syndromes | *Elasticity Imaging Techniques | Adult | Botulinum Toxins, Type A/tu [Therapeutic Use] | Chronic Disease | Chronic Exertional Compartment Syndrome | Compartment Syndromes/dg [Diagnostic Imaging] | Compartment Syndromes/dt [Drug Therapy] | Elasticity Imaging Techniques/ae [Adverse Effects] | Fasciotomy/mt [Methods] | Female | HumansYear: 2022Local holdings: Available online from MWHC library: 2000 - presentISSN:
  • 1050-642X
Name of journal: Clinical journal of sport medicine : official journal of the Canadian Academy of Sport MedicineAbstract: ABSTRACT: This case presentation offers supportive evidence that shear wave elastography may provide an alternative method of diagnosis of chronic exertional compartment syndrome (CECS). A 39-year-old female runner presented with bilateral anterior shin pain on exertion. She initially underwent compartmental pressure testing confirming the diagnosis of CECS but declined fasciotomy. When her symptoms recurred, she was referred for botulinum toxin therapy. Shear wave muscle elastography was performed in the bilateral anterior and lateral compartments following symptom provocation treadmill testing and compared with 2 control subjects. At 6 weeks and 7 months after onabotulinumtoxinA injections, she was asymptomatic, and elastography measurements revealed a reduction in muscle stiffness from initial treadmill testing. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.All authors: Alter K, Berrigan WA, Farrell M, Wickstrom JOriginally published: Clinical Journal of Sport Medicine. 2021 Mar 09Fiscal year: FY2021Digital Object Identifier: Date added to catalog: 2021-02-17
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 33417341 Available 33417341

Available online from MWHC library: 2000 - present

ABSTRACT: This case presentation offers supportive evidence that shear wave elastography may provide an alternative method of diagnosis of chronic exertional compartment syndrome (CECS). A 39-year-old female runner presented with bilateral anterior shin pain on exertion. She initially underwent compartmental pressure testing confirming the diagnosis of CECS but declined fasciotomy. When her symptoms recurred, she was referred for botulinum toxin therapy. Shear wave muscle elastography was performed in the bilateral anterior and lateral compartments following symptom provocation treadmill testing and compared with 2 control subjects. At 6 weeks and 7 months after onabotulinumtoxinA injections, she was asymptomatic, and elastography measurements revealed a reduction in muscle stiffness from initial treadmill testing. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.

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