Chronic Exertional Compartment Syndrome of Bilateral Lower Limbs and Forearms in an Elite Ice Hockey Athlete: A Case Report
Bibliographic record
Abstract
Chronic exertional compartment syndrome (CECS) involves increased intracompartmental pressures (ICPs) induced by physical activity, leading to intense pain and associated neurological symptoms that resolve with rest. Classically, it is associated with young male athletes. The lower limbs are typically affected in running athletes and marching military members, while the upper limbs are generally involved in motorcyclists and rowers. Conservative treatment options involve activity modification, such as alteration of foot strike patterns and botulinum injections, while surgical treatments range from open to percutaneous fasciotomy. CECS is rare and remains a challenging diagnosis. In addition to history and physical exam, magnetic resonance imaging and intracompartmental measurements throughout exercise stress tests are described. In this article, we outline the first reported case of CECS in an ice hockey athlete involving all four limbs that was successfully diagnosed with a continuous ICP monitor and treated with open fasciotomy of all four limbs.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.007 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".