Brennan Fred H, Kane Shawn F
Dewitt Army Community Hospital, 9501 Farrell Road, Fort Belvoir, VA 22030, USA.
Curr Sports Med Rep. 2003 Oct;2(5):247-50. doi: 10.1249/00149619-200310000-00003.
Chronic exertional compartment syndrome of the lower leg is a well-described and documented cause of exercise-related pain in recreational, elite, and military athletes. Although this condition is common, the exact underlying mechanisms, those most at risk, long-term effects on muscular strength if unrecognized, and prevention strategies are relatively uncertain. Runners are most commonly affected and can be markedly impaired by the recurrent, often predictable pain that develops with exercise. An accurate history, high index of suspicion, and compartment pressure testing before and after symptomatic exercise confirms the diagnosis. Conservative therapy is minimally effective. Fasciotomy is the treatment of choice for athletes who are unwilling to modify their exercise or sport.
小腿慢性运动性骨筋膜室综合征是休闲、精英和军事运动员中一种已被充分描述和记录的与运动相关疼痛的病因。尽管这种情况很常见，但确切的潜在机制、最易患病的人群、未被识别时对肌肉力量的长期影响以及预防策略相对尚不明确。跑步者最常受到影响，且可能会因运动时反复出现且通常可预测的疼痛而明显受损。准确的病史、高度的怀疑指数以及症状性运动前后的骨筋膜室压力测试可确诊。保守治疗效果甚微。对于不愿改变其运动或体育活动的运动员，筋膜切开术是首选治疗方法。
