Mississippi Sports Medicine & Orthopaedic Center, 1325 East Fortification Street, Jackson, MS 39236.
J Athl Train. 1997 Jul;32(3):248-50.
To present the case of a college football player with acute, atraumatic, exercise-induced compartment syndrome in the leg.
Acute, atraumatic, exercise-induced compartment syndrome is an infrequently reported cause of leg pain in the athlete. If left untreated, acute compartment syndrome can cause muscle necrosis.
Chronic exertional compartment syndrome, medial tibial syndrome, stress fracture.
Treatment consists of compartment fasciotomy.
This previously healthy, but unconditioned, athlete developed severe anterolateral left leg pain after two days of fall practice in which he was unable to run a mile in 7.5 minutes. Physical examination by the team physician revealed acute compartment syndrome, and an emergency anterolateral compartment fasciotomy was performed. Second-look débridement performed 48 hours later revealed no significant change in the necrotic appearance of the anterior compartment soft tissue. Therefore, the dead muscle was completely débrided, and a free-flap latissumus dorsi graft was used for coverage of the wound. With recovery, strength returned to normal in the lateral compartment but remained 0/5 in the anterior compartment. The patient had persistent sensory loss in the distributions of the superficial and deep peroneal nerves.
Although much less common than the more frequent causes of leg pain (ie, chronic exertional compartment syndrome, medial tibial syndrome, stress fracture), acute compartment syndrome is potentially more devastating. When the increased intracompartmental pressure within a closed tissue space exceeds capillary perfusion pressure, tissue perfusion is decreased, the soft tissue becomes ischemic, and cells die. The most important clinical diagnostic signs of compartment syndrome are pain with passive stretching of the compartment and pain out of proportion to the results of the physical examination.
报告一例大学生足球运动员腿部急性、非外伤性、运动诱发的间隔综合征病例。
急性、非外伤性、运动诱发的间隔综合征是运动员腿部疼痛的一种罕见原因。如果不及时治疗，急性间隔综合征可导致肌肉坏死。
慢性运动性间隔综合征、胫骨内侧综合征、应力性骨折。
治疗包括间隔筋膜切开术。
这位之前健康但未适应训练的运动员在两天的跌倒训练后出现严重的左小腿前外侧疼痛，无法在 7.5 分钟内跑完一英里。队医的体格检查显示出急性间隔综合征，并进行了紧急前外侧间隔筋膜切开术。48 小时后进行的二次清创术显示前间隔软组织的坏死外观没有明显变化。因此，将坏死的肌肉完全清创，并使用游离皮瓣背阔肌进行创面覆盖。随着恢复，外侧间隔的力量恢复正常，但前间隔仍为 0/5。患者的腓浅神经和腓深神经分布区仍存在感觉丧失。
虽然急性间隔综合征比更常见的腿部疼痛原因（即慢性运动性间隔综合征、胫骨内侧综合征、应力性骨折）少见得多，但它的潜在破坏性更大。当封闭组织空间内的组织内压增加超过毛细血管灌注压时，组织灌注减少，软组织变得缺血，细胞死亡。间隔综合征最重要的临床诊断体征是被动伸展间隔时疼痛和与体格检查结果不成比例的疼痛。
