Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Am J Sports Med. 2010 Aug;38(8):1661-6. doi: 10.1177/0363546510363415. Epub 2010 Apr 16.
Chronic exertional compartment syndrome is an entity that typically fails nonoperative management and requires operative treatment with fasciotomies for return to activity. Fasciotomies performed through single or multiple incisions may fail to totally release the fascia of the afflicted compartment(s) and may result in injury to neurovascular structures that cannot be visualized.
The authors report results of endoscopic compartment release with the assistance of a balloon dissector in the treatment of chronic exertional compartment syndrome.
Case series; Level of evidence, 4.
The clinical outcomes of 14 cases of chronic exertional compartment syndrome in 9 patients treated with endoscopic release were assessed with a retrospective chart review and the results of mailed questionnaires.
Fourteen legs in 9 patients (4 male and 5 female; average age, 24 years) were treated with endoscopic compartment release for chronic exertional compartment syndrome. Eight of 9 patients were able to resume preoperative activities, including collegiate athletics in 5 cases and recreational sport in 3 cases. No neurovascular injuries occurred. Complications were isolated to postoperative hematomas that resolved in 2 patients. Seven patients completed questionnaires an average of 3.75 years after surgery. There were no recurrences of symptoms.
Endoscopic compartment release is a cosmetic, safe, and effective means of treating chronic exertional compartment syndrome.
慢性运动性间隔综合征是一种通常无法通过非手术治疗而缓解，需要通过筋膜切开术进行手术治疗以恢复活动的疾病。通过单一或多个切口进行的筋膜切开术可能无法完全释放受累间隔的筋膜，并可能导致无法可视化的神经血管结构损伤。
作者报告了在球囊解剖器辅助下进行内镜间隔松解术治疗慢性运动性间隔综合征的结果。
病例系列；证据水平，4 级。
通过回顾病历和邮寄问卷调查，评估了 9 例患者的 14 例慢性运动性间隔综合征接受内镜松解治疗的临床结果。
9 例患者的 14 条腿（4 名男性和 5 名女性；平均年龄 24 岁）接受了内镜间隔松解术治疗慢性运动性间隔综合征。9 例患者中有 8 例能够恢复术前活动，包括 5 例大学生体育活动和 3 例娱乐性运动。无神经血管损伤发生。并发症仅限于 2 例患者的术后血肿，血肿已消退。7 例患者在手术后平均 3.75 年完成了问卷调查。无症状复发。
内镜间隔松解术是治疗慢性运动性间隔综合征的一种美容、安全且有效的方法。
