Leppilahti J, Tervonen O, Herva R, Karinen J, Puranen J
Dept. of Surgery, Oulu Hospital, Finland.
Int J Sports Med. 2002 Nov;23(8):610-5. doi: 10.1055/s-2002-35529.
We present a case report of acute bilateral excercise-induced compartment syndrome in the adductor longus muscles, which was treated with bilateral medial fasciotomies. Postoperatively, the healing process of the adductor muscles was followed up by repeated MR imagings over six months. Myonecrosis was found in peroperative muscle biopsies. Pain and muscle swelling subsided soon after the fasciotomy, correlating with the early postoperative MR findings. Four months postoperatively, the signal intensity of the adductor muscles was normal in T1- and T2-weighted images, but the normal fibre structure of the adductor muscles could only be seen 6 months postoperatively. At six month's control checkup there was no subjective weakness of the adductors, and hyperesthesia had disappeared and the patient was capable of normal activities.
我们报告一例长收肌急性双侧运动性骨筋膜室综合征，采用双侧内侧筋膜切开术治疗。术后，通过在六个月内重复进行磁共振成像对收肌的愈合过程进行随访。术中肌肉活检发现了肌坏死。筋膜切开术后疼痛和肌肉肿胀很快消退，这与术后早期磁共振成像结果相关。术后四个月，长收肌在T1加权和T2加权图像中的信号强度正常，但长收肌的正常纤维结构仅在术后6个月可见。在六个月的对照检查中，内收肌没有主观无力感，感觉过敏已消失，患者能够进行正常活动。
