Ziltener Jean-Luc, Ménétrey Jacques
Clinique et policlinique de chirurgie orthopédique et de traumatologie de l'appareil moteur, Hôpitaux Universitaires de Genève.
Rev Med Suisse Romande. 2003 Jun;123(6):355-63.
The chronic exertional compartment syndrome (CECS) consists of a disturbance of the muscular function of a compartment related to a rise in the intramuscular pressure of the aforementioned compartment, during an exercise. The most frequent location of this pathology is the leg. The 2 parts of this article are treating the subject. The clinical presentation is often not very specific and the realization of complementary investigations is essential to confirm the diagnosis. Among those, the measurement of the intramuscular pressures of all the compartments potentially accused, at rest, during an effort and especially in phase of recovery, represents the determining criteria. The physiopathological mechanisms implied in the syndrome and currently recognized, are also the object of this 1st part.
慢性运动性骨筋膜室综合征(CECS)是指在运动过程中,某骨筋膜室内的肌肉功能因该骨筋膜室内肌肉压力升高而受到干扰。这种病症最常见的部位是腿部。本文的两个部分都在探讨这个主题。其临床表现通常不太具有特异性,因此进行辅助检查对于确诊至关重要。其中,测量所有可能受累骨筋膜室在静息、运动时尤其是恢复阶段的肌肉压力,是诊断的决定性标准。该综合征中涉及的目前已被认可的生理病理机制,也是第一部分的主题。