@article{ref1,
title="Chronic exertional compartment syndrome of the forearm in motocross racers: findings on MRI",
journal="Skeletal Radiology",
year="2009",
author="Gielen, Jan Louis and Peersman, Benjamin and Peersman, Geert and Roelant, Ella and Van Dyck, Pieter and Vanhoenacker, Filip and Roeykens, Johan",
volume="38",
number="12",
pages="1153-1161",
abstract="INTRODUCTION: The purpose of this prospective study was to demonstrate the findings of MRI in motocross racers with chronic exertional compartment syndrome (CECS) of the forearm. MATERIALS AND METHODS: Racers with proven CECS and without CECS and male individuals not involved in strenuous activities with the forearm were included. Signal intensity (SI) and signal-to-noise ratio (SNR) obtained before and after exercise were compared (D-SNR). RESULTS: Magnetic resonance imaging after exercise showed an increase in SI and SNR in the muscles on T2-WI. The SI increase was obvious in the flexor digitorum superficialis (FDS) and profundus (FDP) in all CECS patients. In addition, a minor SI and SNR increase in the extensor carpi radialis longus (ECRL) was noted. In the non-symptomatic group of motocross racers, there was only a minor increase in SI and the SNR, which was similar in the FDP and ECRL muscles. In the untrained individuals a remarkable increase in the SI and SNR of the FDS/FDP-ECRL was noted. This increased SI and SNR was not present in the majority of non-symptomatic racers. CONCLUSION: Post-exertional MRI produces significant findings in CECS of the forearm. The motocross racers without post-exertional oedema in the FDP/FDS had no CECS.<p /> <p>Language: en</p>",
language="en",
issn="0364-2348",
doi="10.1007/s00256-009-0746-2",
url="http://dx.doi.org/10.1007/s00256-009-0746-2"
}