Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Fatma Bosnina [verfasserIn] Nat Padhiar [verfasserIn] Stuart Miller [verfasserIn] Krishna Girotra [verfasserIn] Chrysovalanto Massoura [verfasserIn] Dylan Morrissey [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome

Übergeordnetes Werk:	In: Journal of Foot and Ankle Research - Wiley, 2008, 16(2023), 1, Seite n/a-n/a
Übergeordnetes Werk:	volume:16 ; year:2023 ; number:1 ; pages:n/a-n/a

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s13047-023-00680-6

Katalog-ID:	DOAJ094770174

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245	1	0	\|a Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
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520			\|a Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.
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650		4	\|a Chronic exertional compartment syndrome
650		4	\|a Medial tibial stress syndrome
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allfields	10.1186/s13047-023-00680-6 doi (DE-627)DOAJ094770174 (DE-599)DOAJ209d113ee64f46a4ad6f499086d12480 DE-627 ger DE-627 rakwb eng RC925-935 Fatma Bosnina verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system Nat Padhiar verfasserin aut Stuart Miller verfasserin aut Krishna Girotra verfasserin aut Chrysovalanto Massoura verfasserin aut Dylan Morrissey verfasserin aut In Journal of Foot and Ankle Research Wiley, 2008 16(2023), 1, Seite n/a-n/a (DE-627)573742634 (DE-600)2440706-9 17571146 nnns volume:16 year:2023 number:1 pages:n/a-n/a https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 kostenfrei https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/toc/1757-1146 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 n/a-n/a
spelling	10.1186/s13047-023-00680-6 doi (DE-627)DOAJ094770174 (DE-599)DOAJ209d113ee64f46a4ad6f499086d12480 DE-627 ger DE-627 rakwb eng RC925-935 Fatma Bosnina verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system Nat Padhiar verfasserin aut Stuart Miller verfasserin aut Krishna Girotra verfasserin aut Chrysovalanto Massoura verfasserin aut Dylan Morrissey verfasserin aut In Journal of Foot and Ankle Research Wiley, 2008 16(2023), 1, Seite n/a-n/a (DE-627)573742634 (DE-600)2440706-9 17571146 nnns volume:16 year:2023 number:1 pages:n/a-n/a https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 kostenfrei https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/toc/1757-1146 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 n/a-n/a
allfields_unstemmed	10.1186/s13047-023-00680-6 doi (DE-627)DOAJ094770174 (DE-599)DOAJ209d113ee64f46a4ad6f499086d12480 DE-627 ger DE-627 rakwb eng RC925-935 Fatma Bosnina verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system Nat Padhiar verfasserin aut Stuart Miller verfasserin aut Krishna Girotra verfasserin aut Chrysovalanto Massoura verfasserin aut Dylan Morrissey verfasserin aut In Journal of Foot and Ankle Research Wiley, 2008 16(2023), 1, Seite n/a-n/a (DE-627)573742634 (DE-600)2440706-9 17571146 nnns volume:16 year:2023 number:1 pages:n/a-n/a https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 kostenfrei https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/toc/1757-1146 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 n/a-n/a
allfieldsGer	10.1186/s13047-023-00680-6 doi (DE-627)DOAJ094770174 (DE-599)DOAJ209d113ee64f46a4ad6f499086d12480 DE-627 ger DE-627 rakwb eng RC925-935 Fatma Bosnina verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system Nat Padhiar verfasserin aut Stuart Miller verfasserin aut Krishna Girotra verfasserin aut Chrysovalanto Massoura verfasserin aut Dylan Morrissey verfasserin aut In Journal of Foot and Ankle Research Wiley, 2008 16(2023), 1, Seite n/a-n/a (DE-627)573742634 (DE-600)2440706-9 17571146 nnns volume:16 year:2023 number:1 pages:n/a-n/a https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 kostenfrei https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/toc/1757-1146 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 n/a-n/a
allfieldsSound	10.1186/s13047-023-00680-6 doi (DE-627)DOAJ094770174 (DE-599)DOAJ209d113ee64f46a4ad6f499086d12480 DE-627 ger DE-627 rakwb eng RC925-935 Fatma Bosnina verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system Nat Padhiar verfasserin aut Stuart Miller verfasserin aut Krishna Girotra verfasserin aut Chrysovalanto Massoura verfasserin aut Dylan Morrissey verfasserin aut In Journal of Foot and Ankle Research Wiley, 2008 16(2023), 1, Seite n/a-n/a (DE-627)573742634 (DE-600)2440706-9 17571146 nnns volume:16 year:2023 number:1 pages:n/a-n/a https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 kostenfrei https://doi.org/10.1186/s13047-023-00680-6 kostenfrei https://doaj.org/toc/1757-1146 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 n/a-n/a
language	English
source	In Journal of Foot and Ankle Research 16(2023), 1, Seite n/a-n/a volume:16 year:2023 number:1 pages:n/a-n/a
sourceStr	In Journal of Foot and Ankle Research 16(2023), 1, Seite n/a-n/a volume:16 year:2023 number:1 pages:n/a-n/a
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Diseases of the musculoskeletal system
isfreeaccess_bool	true
container_title	Journal of Foot and Ankle Research
authorswithroles_txt_mv	Fatma Bosnina @@aut@@ Nat Padhiar @@aut@@ Stuart Miller @@aut@@ Krishna Girotra @@aut@@ Chrysovalanto Massoura @@aut@@ Dylan Morrissey @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	573742634
id	DOAJ094770174
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ094770174</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240413075247.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240413s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s13047-023-00680-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ094770174</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ209d113ee64f46a4ad6f499086d12480</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC925-935</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Fatma Bosnina</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Exercise induced leg pain</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Chronic exertional compartment syndrome</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medial tibial stress syndrome</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Tibial stress fractures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Popliteal artery entrapment syndrome</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Superficial peroneal nerve entrapment syndrome</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the 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callnumber-first	R - Medicine
author	Fatma Bosnina
spellingShingle	Fatma Bosnina misc RC925-935 misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Diseases of the musculoskeletal system Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
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topic_title	RC925-935 Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome
topic	misc RC925-935 misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Diseases of the musculoskeletal system
topic_unstemmed	misc RC925-935 misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Diseases of the musculoskeletal system
topic_browse	misc RC925-935 misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Diseases of the musculoskeletal system
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title	Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
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title_full	Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
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author_browse	Fatma Bosnina Nat Padhiar Stuart Miller Krishna Girotra Chrysovalanto Massoura Dylan Morrissey
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title_sort	developing a diagnostic framework for patients presenting with exercise induced leg pain (eilp): a scoping review
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title_auth	Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
abstract	Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.
abstractGer	Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.
abstract_unstemmed	Abstract Background Numerous conditions are grouped under the generic term exercise‐induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.
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title_short	Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
url	https://doi.org/10.1186/s13047-023-00680-6 https://doaj.org/article/209d113ee64f46a4ad6f499086d12480 https://doaj.org/toc/1757-1146
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This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty‐five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub‐diagnosis alongside excluding differentials. The details differed markedly for each sub‐diagnosis. Fifty‐nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty‐one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low‐lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). 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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

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