{"title":"Calf extra-Fascial compartment area affects calf muscle pumping action: an air plethysmography and computed tomography study.","authors":"Hiroki Mitsuoka, Takashi Ohta, Takahiro Arima, Ikuo Sugimoto, Yuki Orimoto, Akio Kodama, Hiroyuki Ishibashi","doi":"10.1177/02683555231173747","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to elucidate whether lower limb extra-fascial compartment and muscle areas affect the calf muscle pumping action on lower limbs.</p><p><strong>Method: </strong>This study included 90 patients (180 limbs) who underwent preoperative air plethysmography (APG) and preoperative non-contrast computed tomography (CT) of the lower limbs for diagnosis of unilateral or bilateral primary varicose veins. A correlation between cross-sectional CT images and preoperative APG was confirmed. Cross-sectional CT was used to measure the extra-fascial compartment and muscle areas of the calf. The lower limbs were divided into two groups: those that were normal and those with primary varicose veins.</p><p><strong>Results: </strong>The extra-fascial compartment area was significantly correlated with the ejection fraction in normal (r = 0.388, <i>n</i> = 53, <i>p</i> = 0.004) and varicose limbs (r = 0.232, <i>n</i> = 91, <i>p</i> = 0.027).</p><p><strong>Conclusions: </strong>In normal and varicose limbs, evaluation of ejection fraction, an indicator of muscle pumping, requires consideration of the extra-fascial compartment area.</p>","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"334-340"},"PeriodicalIF":1.6000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Phlebology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/02683555231173747","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: We aimed to elucidate whether lower limb extra-fascial compartment and muscle areas affect the calf muscle pumping action on lower limbs.
Method: This study included 90 patients (180 limbs) who underwent preoperative air plethysmography (APG) and preoperative non-contrast computed tomography (CT) of the lower limbs for diagnosis of unilateral or bilateral primary varicose veins. A correlation between cross-sectional CT images and preoperative APG was confirmed. Cross-sectional CT was used to measure the extra-fascial compartment and muscle areas of the calf. The lower limbs were divided into two groups: those that were normal and those with primary varicose veins.
Results: The extra-fascial compartment area was significantly correlated with the ejection fraction in normal (r = 0.388, n = 53, p = 0.004) and varicose limbs (r = 0.232, n = 91, p = 0.027).
Conclusions: In normal and varicose limbs, evaluation of ejection fraction, an indicator of muscle pumping, requires consideration of the extra-fascial compartment area.
目的:我们旨在阐明下肢筋膜外腔室和肌肉区域是否影响小腿肌肉的泵送作用。方法:本研究纳入90例(180条肢体)患者,术前均行下肢空气体积脉搏波(APG)和非对比计算机断层扫描(CT)诊断单侧或双侧原发性静脉曲张。证实了横断CT图像与术前APG的相关性。横断CT测量筋膜外腔室和小腿肌肉面积。下肢分为两组:正常组和原发性静脉曲张组。结果:筋膜外腔室面积与正常下肢(r = 0.388, n = 53, p = 0.004)和静脉曲张下肢(r = 0.232, n = 91, p = 0.027)的射血分数有显著相关。结论:在正常和静脉曲张的肢体中,评估射血分数(肌肉泵送的指标)需要考虑筋膜外腔室面积。
期刊介绍:
The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments.
Print ISSN: 0268-3555