Table 3.
Outcomes and complications of endoscopic fasciotomy of the forearm for chronic exertional compartment syndrome
Ref.
|
Sample size
|
Follow-up duration
|
Postoperative VAS score (mean and range)
|
Postoperative DASH score (mean and range)
|
Postoperative quick DASH score (mean and range)
|
Return to sports
|
Other outcomes
|
Recurrence
|
Complications
|
|
Abe and Fujii[10], 2017 | 1 (unilateral) | 7 mo | -- | -- | -- | Returned 2 mo postoperatively | Pain free at 4 mo postoperatively | None | None | |
Hijjawi and Nagle[14], 2010 | 1 (unilateral) | 6 mo | -- | -- | -- | -- | Pain free at final follow-up | None | None | |
Jans et al[11], 2015 | 154 (all bilateral) | 6 wk | 1.0 ± 0.2 at rest and 1.7 ± 0.9 after stress (used scale of 1 to 10) | -- | -- | All returned 6 wk postoperatively | -- | 1 recurrence 8 mo postoperatively | 5 hematomas requiring drainage | |
Miller et al[17], 2017 | 2 (1 bilateral) | 1 mo (only specified for 1 case) | 0.0 | -- | -- | Both returned 1 wk postoperatively | Improved grip strength and wrist ROM | None | 1 case had small seroma resolved with compressive wrapping at 2 wk postoperatively | |
Pegoli et al[15], 2016 | 3 (1 bilateral) | 45.80 mo (34-55) | 0.75; 0-2 (used scale of 0 to 10) | 5.39%; 2.15-10.05% | -- | All returned 3 wk postoperatively | -- | None | None | |
Ruyer et al[16], 2020 | 21 (15 bilateral) | 4.9 ± 2.7 yr (range: 1.0-10.2)3 patients lost follow-up | -- | -- | 1 ± 2%; 0-9% | Returned at 4.3 ± 1.8 wk (range: 3-8 wk) postoperatively | 14 were very satisfied with the procedure, 3 were satisfied, and 1 was moderately satisfied. | 2 recurrence due to fibrous scar tissues requiring revision fasciotomy; revision was open for one of them | 2 superficial vascular injury, 1 superficial sensory nerve injury, 2 hematomas (1 requiring drainage), 3 transient hypoesthesia (recovered at 3 mo postoperatively). 2 lateral epicondylalgia | |
Seiler et al[18], 2011 | 1 (bilateral) | 9 mo | -- | 5.0% | -- | Returned 3 wk postoperatively; full level at 6 wk postoperatively | Pain free at final follow-up | None | None |
DASH: Disabilities of the Arm, Shoulder and Hand; VAS; Visual analogue scale.