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New cross-country skiing technique and compartment syndrome

During the 1984 to 1985 winter season, the technique in cross-country skiing races evolved with the introduction of the Siitonen step. In this particular technique, lateral pushes on the skis result in a kind of skating movement when performed on both sides (Fig. 1). This method is so efficient that it was generally adopted in competition for its greater efficiency; it has almost completely replaced the classical step in most national and international races since 1985. We report the case of a 23-year-old member of the Swiss national cross-country ski team who suffered a recurring compartment syndrome of both legs when using the new technique during the 1984/1985 racing season. Fasciotomy cured the condition. This first and isolated report, published after three seasons of general use of the Siitonen step, shows that preexisting conditions must be present and that intense and unusual muscular activity is probably not sufficient to