{"id":1891,"date":"2011-09-21T20:12:12","date_gmt":"2011-09-21T19:12:12","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=1891"},"modified":"2011-09-22T15:27:29","modified_gmt":"2011-09-22T14:27:29","slug":"chronic-exertional-compartment-syndrome-head-to-head-dr-hislop-and-dr-hutchinson-respond-to-letter-to-the-editor","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2011\/09\/21\/chronic-exertional-compartment-syndrome-head-to-head-dr-hislop-and-dr-hutchinson-respond-to-letter-to-the-editor\/","title":{"rendered":"Chronic Compartment Syndrome and Surgery &#8212; Are patients being tested correctly for this condition? How are your patients tested?"},"content":{"rendered":"<p><em>The authors respond to Dr van Rensburg&#8217;s letter published in the <a href=\"https:\/\/blogs.bmj.com\/bjsm\/2011\/09\/20\/letter-to-the-editor-chronic-exertional-compartment-syndrome-articles-clarification-needed\/\" target=\"_blank\">blog post below<\/a><\/em><em>.<\/em><\/p>\n<h2><span style=\"color: #800080\">Letter from Dr. Hislop:<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1892 alignright\" title=\"head-to-head-characters\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2011\/09\/head-to-head-characters.jpg\" alt=\"\" width=\"262\" height=\"241\" \/>Dear Christa,<\/p>\n<p>The 2 articles were written as a <a href=\"http:\/\/bjsm.bmj.com\/content\/45\/12.toc#Headtohead\" target=\"_blank\">Head to Head<\/a>&#8211; (see link to papers on how to test for compartment syndrome). Dr Hutchinson and I contrast our approaches to the case of the patient with chronic leg pain of compartment syndrome. My approach is more &#8216;minimalist&#8217; ie no need for resting pressures, test only\u00a0symptomatic compartments etc. We both put forward the reasons for our opposing views on how pressure testing\u00a0should be done.<\/p>\n<p><strong>At the end of the day there is no hard\u00a0evidence base to contradict either approach, and much more study is needed.<\/strong> Until then the authors\u00a0will no doubt continue to use their own approach, and you could perhaps find a happy medium.<\/p>\n<p>I hope this helps.<\/p>\n<p>Best regards,<\/p>\n<p>Matthew Hislop<\/p>\n<h2><span style=\"color: #003300\">Letter from Dr. Hutchinson:<\/span><\/h2>\n<p>Dear Dr. DC Janse van Rensburg,<\/p>\n<p>Since the purpose of presenting two experts in the field was to display\u00a0the varied approaches available in the field that would still be\u00a0considered standard of care at this time, I believe the goal was\u00a0accomplished. \u00a0I remain steadfast that a thorough approach is wise and\u00a0prudent, however, I must acknowledge by reading my colleagues counter\u00a0approach that other alternatives of treating and diagnoses may be\u00a0available.<\/p>\n<p>I hope the readers, in general, appreciate the point\/counter\u00a0point approach offered by Karim Khan and the British Journal of Sports\u00a0Medicine as a wonderful avenue for discussion for <strong>areas such as this that\u00a0may be more grey than black and white<\/strong>.<\/p>\n<p>It is unfortunate that any\u00a0confusion occured with the approach; but I hope that the readers reread\u00a0both\u00a0articles with that concept in mind; then they can be less confused and have some firm support for whichever approach they choose.<\/p>\n<p>Sincerely,<\/p>\n<p>Mark Hutchinson<\/p>\n<p>**********************************************************<\/p>\n<p><strong><span style=\"color: #800080\">What are your thoughts on this topic? <\/span><\/strong><strong><span style=\"color: #800080\">Leave your comments below <\/span><\/strong><\/p>\n<p><strong><span style=\"color: #800080\">Or email: <span style=\"color: #003300\">karim.khan@familymed.ubc.ca<\/span><\/span><\/strong><\/p>\n<p><strong><span style=\"color: #800080\">Or tweet your response and we\u2019ll retweet: <span style=\"color: #003300\">@bjsm_bmj<\/span><\/span><\/strong><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The authors respond to Dr van Rensburg&#8217;s letter published in the blog post below. Letter from Dr. Hislop: Dear Christa, The 2 articles were written as a Head to Head&#8211; (see link to papers on how to test for compartment syndrome). Dr Hutchinson and I contrast our approaches to the case of the patient with [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2011\/09\/21\/chronic-exertional-compartment-syndrome-head-to-head-dr-hislop-and-dr-hutchinson-respond-to-letter-to-the-editor\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[173,1,188,187],"tags":[],"class_list":["post-1891","post","type-post","status-publish","format-standard","hentry","category-debates","category-uncategorized","category-guest-posts","category-hot-topic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Chronic Compartment Syndrome and Surgery - Are patients being tested correctly for this condition? 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Letter from Dr. Hislop: Dear Christa, The 2 articles were written as a Head to Head&#8211; (see link to papers on how to test for compartment syndrome). 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