Chronic Exertional Compartment Syndrome in a High School Soccer Player

Table 1

Differential diagnosis for lower leg pain.

	CECS	MTSS	PAES	Stress fracture
Clinical picture	Pain after a certain period of activity, prolonged pain after rest, sometimes with palpable fascial hernia.	Pain that ceases with rest, typically on the inner leg.	Constant pain, decreased pedal pulses, signs of cyanosis.	Localized tenderness
Diagnosis	Intramuscular compartment pressure measurement	Clinical	Ultrasound	X-ray
Treatment	Fasciotomy	Rest, ice, elevation	Surgical release of tendons	Rest, ice, elevation

CECS: chronic exertional compartment syndrome; MTSS: medial tibial stress syndrome; PAES: popliteal artery entrapment syndrome.