• 1

    Blacklidge DK, Kurek JB, Resto Soto AD, et al: Acute exertional compartment syndrome of the medial foot. J Foot Ankle Surg 35: 19, 1996.

  • 2

    Jowett A, Birks C, Blackney M: Chronic exertional compartment syndrome in the medial compartment of the foot. Foot Ankle Int 29: 838, 2008.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 3

    Finnoff JT, Henning PT, Cederholm SK, et al: Accuracy of medial foot compartment pressure testing: A comparison of two techniques. Foot Ankle Int 31: 1001, 2010.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 4

    Mollica MB, Duyshart SC: Analysis of pre- and postexercise compartment pressures in the medial compartment of the foot. Am J Sports Med 30: 268, 2002.

  • 5

    Chambers L, Hame SL, Levine B: Acute exertional medial compartment syndrome of the foot after playing basketball. Skeletal Radiol 40: 931, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6

    Miozzari HH, Gerard R, Stern R, et al: Acute, exertional medial compartment syndrome of the foot in a high-level athlete. Am J Sports Med 36: 983, 2008.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 7

    Padhiar N, Allen M, King JB: Chronic exertional compartment syndrome of the foot. Sports Med Arthrosc Rev 17: 198, 2009.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 8

    Ribiero AP, Trombini-Souza F, Tessutti V, et al: The effects of plantar fasciitis and pain on plantar pressure distribution of recreational runners. Clin Biomech 26: 194, 2011.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 9

    Taunton JE, Ryan MB, Clement DB, et al: A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 36: 95, 2002.

  • 10

    Richter J, Schulze W, Klaas A, et al: Compartment syndrome of the foot: An experimental approach to pressure measurement and release. Arch Orthop Trauma Surg 128: 199, 2008.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation

Exertional Compartment Syndrome of the Medial Foot Compartment—Diagnosis and Treatment

A Case Report

Faye E. Izadi Lakewood Regional Medical Center, Lakewood, CA.

Search for other papers by Faye E. Izadi in
Current site
Google Scholar
PubMed
Close
 DPM
and
Douglas H. Richie Jr Alamitos Seal Beach Podiatry Group, Seal Beach, CA.

Search for other papers by Douglas H. Richie Jr in
Current site
Google Scholar
PubMed
Close
 DPM
Restricted access

Exertional compartment syndrome in the foot is rarely reported and often confused with plantar fasciitis as a cause of arch pain in the running athlete. We describe a case involving a 19-year-old competitive collegiate runner who developed a chronic case of bilateral medial arch pain during training, which was initially diagnosed as plantar fasciitis but failed to respond to conventional treatment. After symptoms began to suggest exertional compartment syndrome, the diagnosis was confirmed by measuring an elevated resting pressure in the medial compartment of both feet. The patient underwent a bilateral medial compartment fasciotomy, which allowed a full return to activity, and has remained pain free after a 1-year follow-up.

Corresponding author: Faye E. Izadi, DPM, Lakewood Regional Medical Center, 3700 E. South St, Lakewood, CA 90712. (E-mail: ae_izadi@yahoo.com)