腿部慢性运动性间隔综合征。
Chronic exertional compartment syndrome of the leg.
机构信息
Christiana Care Health System, Wilmington, DE. USA.
出版信息
Curr Rev Musculoskelet Med. 2010 Sep 2;3(1-4):32-7. doi: 10.1007/s12178-010-9065-4.
Abstract
Chronic exertional compartment syndrome (CECS) is an underdiagnosed cause of chronic exertional leg pain. The syndrome most commonly occurs in young adult recreational runners, elite athletes, and military recruits. CECS is caused by increased intracompartmental pressure within a fascial space; however, the mechanism of why pain occurs is unknown. Symptoms are classically pain in the affected compartment at the same time, distance, or intensity of exercise. CECS is a clinical diagnosis; however, it is confirmed by intracompartmental pressure testing. Fasciotomy is the treatment of choice for athletes who would like to maintain the same level of activity. Athletes who have a release of the anterior and lateral compartments have a high success rate.
摘要
慢性运动性间隔综合征（CECS）是一种被低估的慢性运动性腿部疼痛的病因。该综合征最常发生于年轻的业余跑步运动员、精英运动员和新兵。CECS 是由于筋膜间隔内压力增加引起的；然而，疼痛发生的机制尚不清楚。症状通常是在同一时间、同一距离或同一运动强度下，出现受累间隔的疼痛。CECS 是一种临床诊断；然而，它是通过间隔内压力测试来确认的。筋膜切开术是那些希望保持相同活动水平的运动员的首选治疗方法。对于接受前侧和外侧间隔切开术的运动员，成功率很高。
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本文引用的文献
1
Diagnosis and management of chronic exertional compartment syndrome (CECS) in the United Kingdom.
Clin J Sport Med. 2006 May;16(3):209-13. doi: 10.1097/00042752-200605000-00004.
2
Minimally invasive fasciotomy in chronic exertional compartment syndrome and fascial hernias of the anterior lower leg: short- and long-term results.
Mil Med. 2006 May;171(5):399-403. doi: 10.7205/milmed.171.5.399.
3
Bilateral simultaneous fasciotomy for chronic exertional compartment syndrome.
Foot Ankle Int. 2005 Dec;26(12):1007-11. doi: 10.1177/107110070502601201.
4
Chronic compartment syndrome: tips on recognizing and treating.
J Fam Pract. 2005 Nov;54(11):955-60.
5
Chronic exertional compartment syndrome: diagnosis and management.
Bull Hosp Jt Dis. 2005;62(3-4):77-84.
6
Two minimal incision fasciotomy for chronic exertional compartment syndrome of the lower leg.
Knee Surg Sports Traumatol Arthrosc. 2006 Feb;14(2):193-7. doi: 10.1007/s00167-004-0613-6. Epub 2005 May 18.
7
Chronic exertional compartment syndrome.
Am J Orthop (Belle Mead NJ). 2004 Jul;33(7):335-41.
8
Long-term results of fasciotomy of the anterior compartment in patients with exercise-induced pain in the lower leg.
Int J Sports Med. 2004 Apr;25(3):224-9. doi: 10.1055/s-2003-45255.
9
Anatomic structures at risk during minimal-incision endoscopically assisted fascial compartment releases in the leg.
Am J Sports Med. 2003 Sep-Oct;31(5):764-9. doi: 10.1177/03635465030310052101.
10
Diagnosis, treatment options, and rehabilitation of chronic lower leg exertional compartment syndrome.
Curr Sports Med Rep. 2003 Oct;2(5):247-50. doi: 10.1249/00149619-200310000-00003.
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