ultrasound

Exertional Compartment Syndrome

Increased pressure within a closed fibro-osseous space

Seen in athletes, associated with repetitive exertion

Leg

1. Anterior compartment

- anterior tibial artery

- deep peroneal nerve

Gastrocnemius tendon 10-25 cm long

- soleus 3-10 cm

- inserts superior calcaneal tuberosity

- fibres spiral 90°

- fibres that lie medially in proximal portion become posterior distally

- allows elastic recoil & energy storage

Plantaris present in 90% population

- medial to T Achilles

Poor blood supply midportion

- mesotenal vessels

Pain at attachment of thickened central part of plantar aponeurosis to Medial Calcaneal Tuberosity

Origin

- medial calcaneal tuberosity

Inserts

- 5 bands superfical & deep layers

Superficial

- insert transverse MT ligament & skin

Deep

- flexor sheath, volar plate & periosteum of P1