Endoscopic fasciotomy for chronic exertional compartment syndrome of the forearm:Systematic review of outcomes and complications

作     者：Yousef Marwan Abdullah Addar Nizar Algarni Nabil Algarni Mark Burman Paul A Martineau 

作者机构：Division of Orthopaedic SurgeryMcGill University Health CentreMontreal H3G-1A4QuebecCanada Department of Orthopaedic SurgeryKing Fahad Medical CityRiyadh 00966Saudi Arabia 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2021年第12卷第5期

页      面：320-328页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Exertional compartment syndrome Compartment syndrome Fasciotomy Forearm Endoscopy 

摘      要：BACKGROUND Endoscopic fasciotomy of the forearm for chronic exertional compartment syndrome(CECS)has gained popularity *** To systematically review the literature of endoscopic fasciotomy for CECS of the forearm,aiming to assess the outcomes and complications of the different endoscopic fasciotomy techniques described in the *** On January 18,2021,PubMed and EMBASE were searched by 3 reviewers independently,and all relevant studies published up to that date were considered based on predetermined inclusion/exclusion *** subject headings“endoscopic fasciotomyand“compartment syndromeand their related key terms were *** Preferred Reporting Item for Systematic Reviews and Meta-Analyses statement was used to screen the *** A total of seven studies including 183 patients(355 forearms)were *** mean age of the patients was 31.2 years(range:15-42 years).The postoperative follow-up duration ranged from 6 wk to 4.9 *** patients were able to return to sport activities between postoperative weeks 1 to *** of the compartment syndrome occurred in three patients,giving a rate of 1.6%per patient and 0.8%per *** overall complication rate was 8.7%per patient,and 4.5%per *** most common reported complication was hematoma(7 forearms;2.0%).CONCLUSION Endoscopic fasciotomy for CECS of the forearm has favorable short-and midterm outcomes with very low recurrence and complication ***,however,needs to be confirmed in larger,long-term follow-up,prospective,comparative studies between open,mini-open and endoscopic fasciotomy techniques.