Rööser B, Bengtson S, Hägglund G
Department of Orthopedics, Varbergs Hospital, Lund, Sweden.
J Orthop Trauma. 1991;5(1):57-9. doi: 10.1097/00005131-199103000-00010.
Eight patients with an anterior thigh muscle contusion or rupture developed an acute anterior compartment syndrome. All patients had an increased pressure in the quadriceps muscle, ranging between 41 and 80 mm Hg. At fasciotomy, three cases had a hematoma in the rectus femoris and four in the vastus intermedius, and in one case only, edema of the anterior compartment was found. Postoperatively, there was immediate pain relief in all cases, and after about 4 weeks, all patients had normal function. We recommend broad indications for fasciotomy and evacuation of hematoma after thigh muscle contusion or rupture.
8例股前肌挫伤或断裂患者发生了急性股前间隙综合征。所有患者股四头肌压力均升高，范围在41至80毫米汞柱之间。在筋膜切开术中，3例股直肌有血肿，4例股中间肌有血肿，仅1例发现股前间隙有水肿。术后，所有病例疼痛立即缓解，约4周后，所有患者功能恢复正常。我们建议对大腿肌肉挫伤或断裂后进行筋膜切开术和血肿清除术采用广泛的适应证。
