Zippel R, Lorenz D, Köcher W, Domagk A
Klinik und Poliklinik für Allgemeinchirurgie, Ernst-Moritz-Arndt-Universität Greifswald.
Chirurg. 1992 Apr;63(4):310-5.
In addition to the importance of compartment syndrome in the lower leg, a growing interest is being shown in the muscle compartments of the foot region. The standard pressure rates in the muscle compartments of the foot comprise up to 4 kPa for men and up to 2.5 kPa for women. During graded exercise (n = 9) on the treadmill the pressure increased in line with the strain and declined again rapidly when the exercise stopped without showing any significant differences in pressure between the muscle compartments studied. In metatarsal and ankle joint fractures post-traumatic pressures were found which were as high as or higher than after 20 minutes on the treadmill and would make the development of a compartment syndrome possible. This points to the necessity of measuring the pressure in the muscle compartments of the patient's foot when there is a clinical suspicion of a compartment syndrome.
除小腿骨筋膜室综合征的重要性外，足部区域的肌肉骨筋膜室也越来越受到关注。足部肌肉骨筋膜室的标准压力值，男性最高可达4千帕，女性最高可达2.5千帕。在跑步机上进行分级运动（n = 9）时，压力随负荷增加而升高，运动停止后又迅速下降，所研究的肌肉骨筋膜室之间压力无显著差异。在跖骨和踝关节骨折中，发现创伤后压力与在跑步机上运动20分钟后的压力一样高或更高，这可能导致骨筋膜室综合征的发生。这表明，当临床上怀疑有骨筋膜室综合征时，有必要测量患者足部肌肉骨筋膜室的压力。
