Prommersberger K-J, van Schoonhoven J, Kalb K, Lanz U
Klinik für Handchirurgie, Rhön-Klinikum Bad Neustadt, Bad Neustadt, Deutschland.
Unfallchirurg. 2008 Oct;111(10):804-8, 810-1. doi: 10.1007/s00113-008-1496-7.
Ischemic muscle contracture after a compartment syndrome of the forearm and hand may result in severe loss of function. In addition to the established muscle contracture, a loss of nerve and vessel function can often be found. The clinical appearance depends on the involved muscles respectively compartments. Even though each case requires individual analysis of the clinical situation, the combination of Tsuge's classification with Holden's classification provides a more or less systematic approach to treatment that can be adapted to each case according to the severity of the contracture of the joints and muscles, the degree of nerve and vessel damage, the function of the remaining muscles and nerves, and the availability of other functioning muscles for reconstruction.
前臂和手部骨筋膜室综合征后的缺血性肌肉挛缩可能导致严重的功能丧失。除了已形成的肌肉挛缩外,常可发现神经和血管功能丧失。临床表现取决于受累的肌肉或骨筋膜室。尽管每个病例都需要对临床情况进行个体化分析,但将津下分类法与霍尔登分类法相结合,可提供一种或多或少系统的治疗方法,根据关节和肌肉挛缩的严重程度、神经和血管损伤的程度、剩余肌肉和神经的功能以及用于重建的其他功能肌肉的可用性,可针对每个病例进行调整。