Epidemiology of upper limb chronic exertional compartment syndrome (CECS) in the French Motorcycle Federation racers: Results of a national questionnaire-based study.
Conservative treatment
Epidemiologic national self-assessment questionnaire
Fasciotomie
Fasciotomy
Post-treatment outcome
Questionnaire national épidémiologique
Résultats postopératoires
Syndrome des loges d’effort des membres supérieurs
Traitement conservateur
Upper limb chronic exertional compartment syndrome
Journal
Hand surgery & rehabilitation
ISSN: 2468-1210
Titre abrégé: Hand Surg Rehabil
Pays: France
ID NLM: 101681801
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
26
03
2020
revised:
14
12
2020
accepted:
21
12
2020
pubmed:
6
3
2021
medline:
23
11
2021
entrez:
5
3
2021
Statut:
ppublish
Résumé
Upper limb chronic exertional compartment syndrome (CECS) has been described in amateur and professional motorcycle racers, but there is no published data about its prevalence. The purpose of this study was to define the awareness, prevention and prevalence of this syndrome in licensed motorcycle racers in competition in France. Secondary purposes were to determine the functional impact of CECS and post-treatment outcomes. The 20,641 licensed racers in competition of the French Motorcycle Federation were sent a self-assessment questionnaire about upper limb pain and CECS physical examination findings, functional impact and treatment outcomes. The satisfaction level was assessed after each type of treatment. Acceptability rate was 6.35% with 1311 racers responding. CECS was unknown by 29% of racers. Prevention methods were unknown by 10% of racers. Less than 50% of racers modified their bikes. The prevalence of upper limb CECS in competitive racers was 9%: 8.7% forearm, 0.2% thenar, 0.1% hypothenar and 0.4% first dorsal interosseus compartments. The prevalence was 16% in international level racers, 11% in national level racers and 7.3% in regional level racers. A quarter of racers were satisfied or very satisfied with the outcomes of conservative therapy and rehabilitation. Only 67 racers underwent surgical treatment for their upper limb CECS: 31 by open fasciotomy, 23 by minimally invasive fasciotomy and 13 by endoscopy-assisted compartment release. In these 67 racers, the mean visual analog score for pain improved significantly (p < 0.001 95% CI [3.1-4.5]) with 81% satisfied or very satisfied with surgery outcomes. This epidemiologic self-assessment questionnaire for upper limb CECS is a new concept. This study screened for CECS and offer information regarding evaluation, treatment, and management.
Identifiants
pubmed: 33667652
pii: S2468-1229(21)00061-X
doi: 10.1016/j.hansur.2020.12.017
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
268-276Informations de copyright
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