Piper Kalman John, Yen-yi Jessica Chua, Horsley Mark
Royal Prince Alfred Hospital, Sydney, Australia.
J Foot Ankle Surg. 2010 Jul-Aug;49(4):398.e5-8. doi: 10.1053/j.jfas.2010.04.002. Epub 2010 May 26.
Deep posterior compartment syndrome is an extremely rare complication of ankle fracture and the few reported cases in the literature show that it is usually diagnosed late. Anterior and deep posterior compartment syndromes have been described with variable manifestations according to the compartment affected. We present a case of deep posterior compartment syndrome isolated to the disputed distal "subcompartment" of the leg, which had a very subtle and late presentation and was missed. The diagnosis of compartment syndrome was confirmed on MRI scan. Subsequently the patient developed a flexor hallucis longus muscle contracture that was managed nonoperatively.
小腿后深间隔综合征是踝关节骨折极其罕见的并发症，文献中报道的少数病例表明其通常诊断较晚。根据受累间隔的不同，前间隔和小腿后深间隔综合征有不同的表现。我们报告一例局限于小腿有争议的远端“子间隔”的小腿后深间隔综合征病例，其表现非常隐匿且出现较晚，因而被漏诊。磁共振成像扫描确诊为间隔综合征。随后患者出现了拇长屈肌挛缩，采用非手术方法进行治疗。
