Rehman Saqib, Joglekar Siddharth B
Department of Orthopedic Surgery, Temple University Hospital, 3401 N Broad Street, Philadelphia, PA 19140, USA.
Orthopedics. 2009 Jul;32(7):523. doi: 10.3928/01477447-20090527-30.
Compartment syndrome of the leg typically affects the anterior compartment or multiple compartments and can be traumatic or exertional (chronic) in nature. Isolated lateral (peroneal) compartment syndrome of the leg is a less typical and lesser-known condition that can potentially escape diagnosis if not considered in the workup of a painful leg. This article presents a case of isolated lateral compartment syndrome of the leg without gross muscle rupture or hematoma. The patient presented 21 hours after injury while playing soccer. Isolated lateral compartment syndrome was diagnosed based on history, physical examination, and a compartment pressure measurement of 130 mm Hg. Emergent surgical decompressive fasciotomy was performed. The peroneal longus and brevis muscle tissue was not lost. Superficial peroneal nerve sensation, which was initially impaired, was recovered at 1 month postoperatively. The patient recovered and was able to participate in sports again by 2 months postoperatively.
小腿骨筋膜室综合征通常累及前侧骨筋膜室或多个骨筋膜室，其病因可以是创伤性的，也可以是劳力性（慢性）的。孤立性小腿外侧（腓骨）骨筋膜室综合征是一种不太典型且鲜为人知的病症，如果在对腿痛进行检查时未考虑到，可能会漏诊。本文介绍了一例无明显肌肉破裂或血肿的孤立性小腿外侧骨筋膜室综合征病例。该患者在踢足球受伤21小时后就诊。根据病史、体格检查以及130 mmHg的骨筋膜室内压力测量结果，诊断为孤立性外侧骨筋膜室综合征。随即进行了急诊手术减压筋膜切开术。腓骨长肌和腓骨短肌组织未受损。最初受损的腓浅神经感觉在术后1个月恢复。患者康复，术后2个月能够再次参加体育运动。
