Andermahr J, Helling H J, Tsironis K, Rehm K E, Koebke J
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie der Medizinischen Einrichtungen der Universität zu Köln, Cologne, Germany.
Clin Anat. 2001 May;14(3):184-9. doi: 10.1002/ca.1031.
The hindfoot compartment syndrome occurs in 10% of cases after calcaneal fracture. We analyzed the pathological anatomical reasons for this syndrome using the 10 feet from cadavers plastinated and cut into 4-mm thick sequential sections. CT scans of patients with calcaneal fractures were then compared with the anatomical findings. The key component of this compartment syndrome is the quadratus plantae muscle. The sustentacular calcaneal fragment causes bleeding from the bone or the medial calcaneal arteries into this compartment. The medial and lateral plantar nerves and vessels are then compressed between the quadratus plantae muscle and the short flexor digitorum muscle. Relieving pressure by surgical decompression of the quadratus plantae compartment via a medial or plantar approach is the recommended treatment.
后足筋膜室综合征在跟骨骨折病例中发生率为10%。我们使用10只经塑化处理并切成4毫米厚连续切片的尸体足部分析了该综合征的病理解剖学原因。然后将跟骨骨折患者的CT扫描结果与解剖学发现进行比较。该筋膜室综合征的关键因素是跖方肌。跟骨载距突骨折块导致血液从骨骼或跟骨内侧动脉流入该筋膜室。然后，足底内侧和外侧神经及血管在跖方肌和趾短屈肌之间受到压迫。推荐的治疗方法是通过内侧或足底入路对跖方肌筋膜室进行手术减压以缓解压力。
